Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT �ERVICES <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 /> �/�I� T \<-C�\�\ 'L,� ,�J '� � � <br /> PROJECT ADDRESS <br /> , . <br /> LL.L uZ�> `��� �-' - i- Z y � <br /> ���� �.(��1� CW �v��vG�--��r5 <br /> Owner <br /> Mall Address City StateO_ip Phone <br /> Tenanl <br /> M�II Addross City Sla�elZip Phenc <br /> ��1�v�; ��Lc�'CY'�� �.-v���<<-- �,�'���,� �-"i z- �_� S �1 � <br /> state2 Phone <br /> [leclrical Conlraclor Mail Address �'�7' P <br /> �� �����1 v � v '! Y � �v� ------ <br /> Stale License Number � Conlract Price of Worl: <br /> Propo,ed Use of�uildinc� Conlacl Person (Plan Revietv) <br /> Dcscr��n o(W ork�o Oe �one: I�-���l Q �'i����� �U`''�`�\\C'"�`ry� - <br /> ;�� I ZvU <br /> NOT[: WIf:ING IN NON-DW[LLINGS IS REQUIREDTO F-[E <br /> � J� `'` <br /> f3f: W RACM'AYS, MC OR AC CABLE. � <br /> CITY OF [VERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 heioby cerli(}'t1:al 1 ha��e iaad and examined this applicafiun nnd kno�t•Ihe snrne to bc fnie ond <br /> cen�ct. All p��visions ollaws e�nd ordinances govertung this typo o/�rork will be compfcted <br /> �vhetherspeci6ed herein ornoL T"he granting o/a pemuf does not �r�siune to�ive aulhonty fo <br /> vrelafu ar cana:l the provisions o(any ofher state or local la�r regulafinc�consfruclien or tlm <br /> peifonnance o(construction. That 1 am authorized by fhe o�vner o/this prnperty fo/?r.rfoi7n the <br /> �vork(or which application is made and I compty�vifh the Slate CrnLnctors Lnw 18.17 RCIt and <br /> 296200 4YAC. <br /> � � y I i c�c1 <br /> -�'--� i..�i-�4�-- ate <br /> i�na urc! -, . <br /> E d�iC`-l- C1C�0 <br />