Laserfiche WebLink
ELECTF2ICAL PERMIT APF'LICATIC�N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.evereltw•a.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> c_: �r. _t-; �: F t� �.�.r- =��-, -��.t ,G_.=� � �) T" -�-� <br /> PROJECI'ADDRESS <br /> �~ {J <br /> .C�:�-�,-;i�����:_C�f—�[.�%. �_� - �..._.1 ���- ) r._)�.: 1 I��'.i>c� � '�>'Fc'��s •!�_ <br /> Owner hlail Address City Stale2ip Phone <br /> Teranl Mail�ddress Cily State/Zip Phonc ' <br /> � c�lR'..— `—'L�=�.,c-�_ �'c� 1 U.y'a_yS. �.T ��� C, .. �-�c��.�> ��'�-'�"f—\-,`;. <br /> Elet.rical Conlractor A1ail Aadre ss City State�Zip Phone � <br /> � ��_1'�i--_`�l_F_ \�-{ \ �' � ��� `_�- <br /> Sfate License Ni�mber Corlract Price ol Work <br /> '� L` t= _ <br /> Proposed Usn of Building Contacl Person (Plan Review) <br /> Oescriplion of Work to Be Done: �� t c�-c� ��l Cv.� ����"� <br /> NOTE: WIRING IN NON-DWFLLINGS IS REQUIRED TO FEE <br /> BE IN RNCEWAYS, NC OR AC CABLE. <br /> CffY OF HVERETT LOCAL SALES TAX CODE IS 3105 <br /> I he�ebvi certil}�fhaf I hnve rcad ana exarnineA fhis applicafion and kno�v the same to be true and <br /> conecl All piuvis�ons o/la�vs and ordinances governmg Ihrs type o/work will Ue completed <br /> whefher specilied herein or not The yranfing n(a permd does not resume to give authonf}�fo <br /> violafe or cancel Ihe provi��ons ot any ofher stafe or local law m,yuPting construc6on o•fhe <br /> peNonnance o(cons(ruction. Thal 1 am aufhonzed by fhe owner olfh�s property fo perlom�fhe <br /> work lo��vhich application is made and 1 comply�rifh fhe State Coniracfors Lau� 78.27 RCl4�and <br /> 296.200 WAC. <br /> \\\ ``. ,.ti�. ` 1 � _ l�• 1-K <br /> ��iqn;nun; Date — _ <br /> I <br /> �—�i��� I �-��C� <br />