Laserfiche WebLink
t <br /> .\ <br /> ELECTRICAL PEQMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857-www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> ��l�i� ��rl I- i(�(, St���i�� �� � lX' il Q d l , i _�.'r_", ���G I <br /> PROJECT ADDRESS ' <br /> ��l �,`�r��c�S �;� I j�����,2'.IS I�n �;�,1 -il� i �� ��,-�. ��`��� �I� � � ��, �;"=.. � � �,, <br /> GWner Mail Address City J Stale/Zip Phone <br /> �, <br /> �1���iC f�` , t�G�< < �e <br /> Tenanl Mail Address City Stale/Zip Phone <br /> � . �. <br /> ��>r �,1 , r,�r ; I -��C:c_ �-�; r -��"�-�� C'l� �, �0��i,r, S-� r � �'re ��1� C��)<< 4'[�S�� � <br /> Electrical ContreCWr M17ail Address Ciry Stale/Zip Phone <br /> �";n ��; �.,�yy.1r�-7 �l' (. �o � S <br /> Stata License Number Contract Price of Work <br /> Proposed Use of Buildin� Conlact Person (Plan Review) <br /> r <br /> DescriplionolWorkto�eDone: _ ��_ � Y_� 1 � ��� ��.���,';��� `.1�'� � �, � �c� jl ���C�) ) <br /> NOl"E: WIRiNGlN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, �dC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby cer7i(y thaf 1 have read and exemined this applica�ion and know fhe same to be frue and <br /> rorrer,t. All provisions ollaws anC ordmances govemmg this lype oI work will be compieted <br /> �shefhnr specdicd herein or not. Thu granting oI a pennd does not resume to give aufhonty fo <br /> violafe or cancel the/�rovisions oI any other state or local law reguPting consWc�ion or the <br /> performance of consfruction. rhaf I am aufhonzed 6y fhe owner ol this property to pedorm fhe <br /> �vork Por which application is made and I comply with the Sfate Contracfors Caiv 7827 RCN�and <br /> 296200 WAC. <br /> � / „ <br /> _ � % �;,�� i ; i�ti 1'IlJ;�i� �— �1 �i � �_c� ��'���/ <br /> SignaWre ate I <br /> �� �n <br />