Laserfiche WebLink
ELECTRfCAL PERMIT APPLICATION <br /> CITY OF EJERE�TT PERMIT SERVIC�S �b `�g�D <br /> 3200 CEDAR STREET, EVERETT, WA 96201 <br /> 425-257-8810 - FAX425-257-8857-www.evereltwa.org ��p/�-��� <br /> APPLICATIONS ARF ACCEPTED FROM 8 AM TO 4 PM <br /> �/ �1C� � 1 <br /> C�� �� �� � �.c� I�� r� � V�� 9 <br /> PROJECT ADDRESS � LG�� <br /> j �r <br /> �` <br /> ���_����' ��c�C�'� �<<1C� ( � ����i,l - UrlY�nnrr,cFs�les%��n �,`� ��IzS 318-23 �� <br /> Owne� A1ail Address , Cily Stale/Zip Phone <br /> � - <br /> Tenanl Mail Address Cily S�ate�Zip Phone <br /> � (�'C .I' �. Ic-c�r�� �0, � !cc`3. 1�c51/�cll ���� �'j�c;�l I <br /> Eloc�riCalConlraClor MailAddress Cily � Slale/Zip��,�l� [�&S-S��one <br /> �� <br /> f�c" I�L L- r_ � o ytl I�I- �� I.S C'CC� � c^C�; <br /> Slalo License Number CoNracl Prico of Work <br /> Si- r� �',�)rt) ��� � 1� <br /> Proposed Use of Buildin� Conlact erson (Plan Review) <br /> C1c�b� 7��f - '3c<(1 �c�l�� <br /> Descriplion o(Work to Bo Done: ,�l = �� ��r 1 �C� - ? - I ' <br /> � ' ! : - C� r� �� ✓�Ci/.��—`— <br /> ��/� /�� „�-r,. <br /> � � <br /> NOTE: WIRING IN P�ON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, 61C OR AC CABLE. <br /> I <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 I <br /> 1 hereby certi/y that 1 have read t�nd exnmined fhis applicaGcn and kno�r the same to be Vue nnd �` ��(� - I ��j <br /> I cerrect. All pro✓slons o!la�vs and o�dinances 9overnui�Ihis type o/�rork n�ill Ga completed <br /> �ti4�ethcr spec�6ed herein ornot The�rantin�ol a permir does not �resmne to�i��authonty fo <br /> violafe or cancel the pravisions o(nn}�ofher slato or local la�t�regulnfing consUuchon or the <br /> perfornrence o!construction. rhat 1 t�m authorized by tfie o�rner oRhis propeily�to per/onn tho <br /> nork lor�shich application is mado and I comply�vith fhe State Confraclors La�v 18.2, RCW and <br /> 296.200 Ih�AC. <br /> � �� <br /> � �� ��� ��j �� Cr� i����iz� I� o <br /> —'�4,�,,,,�-- �;. � ,, ���a <br />