Laserfiche WebLink
i _ _ _ _-- -- <br /> � ELECTRI�AL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES �,13,�z <br /> 3200 CEDAR STREET, FVERETT, W� 98201 C i7 o b'-o5L^ ' <br /> 425-257-8810 - FAX 425-257-8857-v�n'✓tiv.everettwa.org ��I <br /> I� APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> —��v ViC-U�l f2��Ct= �� tl�S1���1 ���'7 <br /> PROJECT ADDRESS <br /> I I <br /> I Q�.7�' �RI`�SOEJ �{Slo U3a�1�jXrc D� Lt�C—Q� l 1!r �t J2� <br /> IOwnef fdail Address City SlatelZip Phcne <br /> Tenan� h7ai1 Address Ciry SlatelZip Phone I <br /> G,s��=� �� �-c1�'W<-iN� Io3z� 1�.7d'A� �_ .�1t �_� � � �F1_�' 4�.'> c�u� <br /> Eleclrical CoNrador Mail Address City State!ZI�. Phone <br /> �O� cv <br /> L��u�E�S944F_�t'_ _ �i. <br /> Stale License Number Conlract Pnce of Work <br /> Proposed Use of Building Contact Person (P�ae Review) <br /> Square Footag�lf�re tlenti�constiudion, remodel or addition) � <br /> Descriplion of Work lo Be Done: �$�_� 1`'c'�'tA��F` <br /> ,� � , �z <br /> � <br /> � <br /> IJOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br /> FEE I <br /> BE IN RACEWAYS, MC OR AC CABLE. %'� ��J <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 I <br /> 1 hereGy r.c�fily flr3t I have read and examined fhis ap�lication ard Icnow Ihe same to be frve and � <br /> � wrroct. All prows�ons o(Im+�s and ordinancr,s govanmg this(yp�of�ti�o�k�rill be completed � f C `� ' U��"' <br /> ��� v,�hetherspccified herein ornoL TOc granting oI�pemul does not/uesume to give authonty to i <br /> ' violale or cancel the n�v�si is of any olhersfafe orlor,al la�v regu a�ing consfniction orflie <br /> �, perfonnance o(cons rf�clion. That 1 am aulhonzed Gy llte o�vnero/tlus property to per�omi fhe <br /> � work lor�vl �cl�appl� afion is�i iadc and I comply�vifh tlie Sf<�(e Contracturs Law 18.2i RCW and <br /> , 296.200 �C. <br /> I � ti i L",�-.�"�`. � �.3 ��'(:L <br /> � s�g�,�n:« � — ,« <br />