Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMI7 SERVICES <br /> 3Z00 CEDAR StREET, EVERETT, WA 98201 <br /> 425-257-9810 - FAX 425-257-8857 —www.everettwa.org <br /> APPLICA710NS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> � l�'� � e/� ���I��U�20 <br /> PROJECT ADDRESS <br /> GaY��rl�in� �/�l��f .�D./�� ly 2�M�ll�y����,�� ago�� <br /> Owner Mail Adtlrass C�ry Sla��p Phone <br /> ��1 � <br /> 7enant Mailnatlress eiry state2lp Phone <br /> � �� �I�(�YI�l��Yj�%�C���l��,r—v�l��-�—��i���l��, w���'�22 <br /> IeCiriG71 Conlractor Mail Addiess GRY SWIe ip Phona <br /> ���GI�����(��' _ 700 00 <br /> � . <br /> 5 le License Number Conirad PriCe of Work <br /> roposed Use I f wlding �/ Conl�Ct P rson��Review) <br /> l�IM� <br /> I <br /> Squore FootAgc Qt ro5idr.n�ial new rvnslru ' n,remodel or addition) <br /> DesCription of Work to 6a Uond: ' `/`D D�� <br /> NOl[: WIRING IN NON-DWELLINGS IS REQUIRED TO �E <br /> BG IN RACEWAYS, MC OR AC CADL[. � � <br /> D <br /> CITY OF EVERHTT LOCAL SALES TA%C005 IS 3705 <br /> I he�eby ceMry thnt 1 hav�r»ad and ereminnd lhis application and Nnow tho soma to bo irue and . <br /> cnrrect. All pmvisions ol laws�nd ordlnonces govommg this typo ol work wilf 6e compleled C I 2 }'Z _ I � 9_ <br /> wtruth�r sp�cifiod horeln or not. The.dronfinp oI a ponnd does nol pmsumo to give authonty fo ,- 1 <br /> Ivi0lote Or conCCl Ihe provisrans ol any othvr statu orlocal!aw regu�Ating ConSfruchon or the � <br /> pedomianCp ol cpnstruction. Thal I am authonzeJ by fbe owner of th15 p/OpPrtY fo P�do�m the <br /> work for whrch upplicalion is mode nd 1 compty wlth H�e Stote Contrncfors Law 18,27 R(.W and <br /> T 96.200 W , <br /> � , �� �2�2� 2 <br /> /i <br /> nelmc Da�o � <br />