Laserfiche WebLink
Aug 30 07 01 35p ALC Electric Gorp 425-361�529 F z <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 9820'1 <br /> 425-257-88�0 - FAX425-257-8857 —wwva.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM II AM TO 4 PM <br /> S�\ �1��O�c�ve <br /> PFOJECT ADDR[SS <br /> J�.,��r, �a. �:�..� cx �.��.�� � q��o3 �4-�> �. - <br /> O�vnef � 61ai Atldrass Ciry StateRip ��\ <br /> Tenant Mail Addtess Ciry State2ip Phcne <br /> ►��� ���:� t���y ����� � ���a ���� ���a.o�-_ <br /> Eleclrical Conlractar Mail Address Ciry State2ip Phone <br /> ��'�'� ��'� �� Contra�nceo W rk <br /> S�ale License Number <br /> Proposed Use of Building Con;ad Person (Plan Revicw) <br /> Descripfion o1 WoiK to Be Done: ����I w���� C���-`n��=�-����� • <br /> 1b 'o \v..J�.�-�D�'� �,'1�r\�R V�Q �1 <br /> � � Zv�l <br /> NOTE: WIRING IN NON-DINELLINGS IS RECtUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. ���O t7 <br /> CTTY OF EVERETT LOCAL SAI_ES TAX CODE IS 3105 <br /> f AereLy certily lhat I have reud and oxaminod this application and kno�v tho same to be tivo ard <br /> conr;L All pro�isioos o!laws and ordinances govoming 7hrs type o/wak wil!be complated <br /> �enclher speci(ed hemin or noL The granling o/a pemut dces not resume to give autJanry tu <br /> violato or cancel the provisiens o(any othorsYata orlocal law/eguPting construdinn orthe <br /> pe�fom�ence ol eons7ruction. Thaf I am aut7ronzod by tbe owner of this prapoRl'fo oedorm tfru <br /> ���ork 1nr which applicatiun is made and I compty wrth ihe Sfate Contradors Lavi 18.27 RLb'�'and <br /> 296.200 6VAC. <br /> �6�. ���0� <br /> Siqnatura oate <br /> �D7D�-"�7 <br />