Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STR[ET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM b _o y-6� <br /> 24� , <br /> =�-�-1��- t�ah-�c..-�t�v�.e��$ �'�n�tP � <br /> PROJECT ADDRESS � <br /> Owner tilail Address City SlatelZip Phone <br /> Tenant Mail Address Cily State2ip _ PI)ope <br /> ��) <br /> �leC�v't�(� , ►hC� �35 ►�1� � &�t�, c�s�. �v u�� - �f3iL�3 ?�C(Y��I� � <br /> EleCirical Conlraclor Mail Address Ciry Slate/Zip Phone <br /> r�i�i�u �2.i� I e� e��-�r� ���.�� <br /> State License Number Contrect Price o(Work <br /> ��1�-fJUf2-1�f1�>� <br /> Proposed Use of Building Conlacl Person (PI2n Review) <br /> Descriplion of Work to�e Done: r �� ��( i�� `�', C.�'�'K��� l/ X ��l ll %ti— � ��4�� <br /> � � <br /> --��-�-,-�'` C, n _ <br /> — <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETi LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby certil}�fhaf 1 have read ard examined this application and know Uie sarne(0 6e true and <br /> correct. All provisions ella�vs and ordinances go�•eming this t}�pe o/tvork�vill be completed <br /> whether speafied herein or noL The�ranting of a pennd does nof resume fo give authenty fo <br /> violafe orcancel the provisiau o(any other sfate or local law ree�uPting construction or the <br /> peiformance ol construcfion. Thaf 1 am aufhorized b}�Ihe o�vner o/this property fo perfonn fhe <br /> work for u�hich applicalion is rnade and 1 comply�vith fhe State Con6acfors Law 18.27 RCW and <br /> 296100 WAC. � <br /> a J ' ` V��l..� , � � D � /Di <br /> gnaWre . Date / 1 h� ' <br /> �i V� <br /> l� <br />