Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <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�;�z� y�� t���,� ,�� ���,-� <br />PROJECT ADDRESS <br />L��v�t <br />Owncr <br />71�n��j �i.,Mi <br />T�nant <br />VD(��Li ������ �I�r�p�e <br />���l�C� �-�Nt��"t <br />6lectrical Conlractor <br />Slate License Number <br />K��,�y�l. ., �,�, � <br />Proposed Uso of 6uildinp <br />Mail Address <br />,>�,s,�,�-� <br />Mail Address <br />I0�,�1 S lrl,A-��r'� <br />Mail Address <br />,'�. ��. <br />;M,>I� ��,��,��.�y(�-,N `I��<1�= <br />Cily' State/Zip <br />�.,; ��� ( 3� <br />Cily Stale/Zip <br />.1t.J �i�Jrl��r�cl., I��GS���I!/-ti <br />Gly <br />Phone <br />L,�', � y�'.�L' ! <br />Phonc <br />���JZC�V <br />Phone <br />li- �� Jo t� � %D,�'� <br />Contracl Price of Work <br />�✓���c c r-��� ���� y <br />Conlacl Person (Plan Review) <br />Desr.riplionafWorktoDeDono: (�'h^1f� ���1r�1��(�71 �l�u�f Iv•���$ ��'�^`IC. <br />� —� ,�/. , <br />Si��i�lc��7 ..,,�' ,II�tiH 5 �i✓r I�JO✓.i /U L+% �i�C C�� nC <br />� <br />C�lti�u�qti�/i� — S��JC. �C' G���J�^-f J!� l�vi'ti: �i[):,i�ti(f (�l <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby cerfi(v fhat I have read nnd examined fhis application and kno�v fhe same fo be Wo and <br />correcf. All provisions olla�vs and erdinances,9overninp this type of �t�orh �vitl be completed <br />n�he0ier speafind hemin or noL The granfiny o( a pernut does nof�nesume fo �ive a�dhonty to <br />viola(e or cancel (hc provisions ol nny other stafe er local la�v m�u. �fing consVuction or the <br />peifomianca o/ consfn�cfion. Thct 1 am aufhoiized by the on�ner o/ Ihis prope�iy fo perfomi fhe <br />�rak !or whicli application is mado and 1 comply wifh Ihe State ConlracMrs Lew 10.27 RCtN and <br />29G.200 WAC. <br />� <br />,!�' �,�!�qKl�i" 1-1�12�e;' /✓;iy � :?Dr � — <br />, ' Signature Date <br />' 1� 1 �i/L i. J <br />L`��i ii� .J,.Gt s,;,1J ��1�✓.�CNr�JG �;C. LI'1oL�i L I � <br />FEE <br />�lIOS ���� <br />