Laserfiche WebLink
r � <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT �ERVICES /Z -ao--q <br /> 3200 CEDAR STREET, EVERETT, WA 98201 ��(�Z„�(q <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org � <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> Z3 � � I1 �C IG� 2F't, �'-�-r� - <br /> PROJECT ADDRESS <br /> P�Y-i � h�i2�''� JtincA� L'/z-Soi � 23 � 3 /�oc�ce.rt. F� l..C� 9�20/ <br /> Owner Mall Address Clty State/Zlp Phone <br /> Tenanl Mail Address City State/Zip Phone <br /> ^ — �,C���(t,�c `/9J2 `�1>>% 5-�.J m� iucieo ww 9B2�s' - <br /> ElecMcal Conlraclor Mail Address Ctty State2tF Phone <br /> 0 <br /> ��, � � Z � � sys�r2 � _ �so - <br /> Slate Lfcense Number Contract Price of Wo��k <br /> Proposed Use of Building Confacl Person (Plan Review) <br /> Descriplion oi Wark lo Be Dono: � L��iQC'` rn� T�� �- �`�'r �'�'�L�/ /L,� ��p <br /> � (12 i't,O ; i O/i �cJ i C. � v t7 L).:i l'�X — <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. �jS � <br /> � <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br /> 1 here6y cerii/y thaf 1 have read and examined fhis appfication and know the same fo be We and �1 I I '7 — I l A <br /> conect. All provisions u/laws and ordinances goveming tliis fype ol work�vill be completed !i I <br /> whefher spea6ed herein or noL The granting o(a permrt does nof�resume fo give authonty to <br /> violato or cancel the Provisions ol any other stete or local law regulating construction or tho <br /> perlormance o/construction. That 1 am aufhonzed by fhe owner o/this�roperty fo pedortn the <br /> work lor which applicafion is made and 1 comply wifii fl�e State Confracfors Law 18.27 RCW and <br /> 29G.200 WAC. <br /> t�.� � . �.ti ��L / Z.'Z� - / / <br /> i nalure Date <br />