Laserfiche WebLink
----—� <br /> – -- -- <br /> � __.__ � <br /> i � <br /> � <br /> � ELECTRICAL PERMIT APPLICATION ; <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 I `�S�I Z <br /> 425-257-B810 - �AX 425-257-8857 -wv�w.everetlwa.org r��I -0�/ <br /> �- �r <br /> � APPLICATIONS ARE ACCEPT[D FROM 8 AM TO 4 PM <br /> I <br /> =�003 � Gas�no �• I� <br /> PROJECTADDRESS I <br /> o�,, p� ox � r.,� Fcft Seo-rrL A � II <br /> State2ip Phone <br /> ��� Jwner Mad Address C�ty <br /> I <br /> I' �' 1 4 L I f F�5 <br /> i 1 I� C� �,t7 (-,r { ��ti � c�ry siaieizu r�rc c , <br /> � ienant 1Aail Address '. <br /> ,,,� e WA 9 Zo3 yo�-o^�z; <br /> i r I ' ? '� r��l� U K , <br /> Stale/Zip Phcnc <br /> Electncal onlractor MadAdaress �'�Y i <br /> ve i i � F G Itil I�s �2> `x70 `eY <br /> State Lirense Number Conlract Pnry ot Work � <br /> L�_I,... l� ,..,�„a. Y�-ZYa-1f4� �I <br /> Co,�MF ru��� Contact Person (Plan Rewew) <br /> Praposed Use of Bwlding . <br /> � <br /> . Desaipdon ol Work to Be Done. � fi �� �� ��W V°hQ P �-ornro� W�('�nr' FP 4�E r — i <br /> I� th D � � <br /> I II <br /> II I <br /> i <br /> � FEE <br /> I NOTE EIRN RACEWAYS MC OR AC CAB EUIRED TO <br /> � <br /> ', i <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 I <br /> i hereby cortdy fnat�have ro:+d and exarnmetl this appl�cahon and know fho samo ro bo frue and C I 2v� – O �� � <br /> conocf All prov�mons o!laws antl orUmances governing fhis lype o(�rork�srll be wmplefed <br /> ' ,rholhm specJi�d harem oi noi The granting ol a pemiit tloes not resume fo g�vo aulhonty to , <br /> '� molate or cancel the provisons ol any ofhoi sfato or locai law ieguPlmg ronshuchon or fho <br /> Ipodomiance of rons(�ucfion Tnal'am authonzeJ by fhe owner o!this property fo perform fhe I <br /> �vcrk lor which apphcahon is made and I comply wRh tho Sfato Contracfors Law 7827 RCW and <br /> I 296 200 WAC. � <br /> I� ��� 'n.L�— �fL3/To�z I <br /> -�SI�-- Date I <br /> � <br />