Laserfiche WebLink
I � <br /> ELECTRICAL PERMIT kPPLfCATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, V'JA 98201 � '—I�`� a7 <br /> 425-257-8810 - FAX 425-257-8857 —www.evereltwa.org C'070g—l�� <br /> APPLICATIONS ARE ACCEPT[:D FROM 8 AM TO 4 PM <br /> �� � - o V '��1,� � �I �- l� � � � . <br /> PROJECT ADDRESS <br /> ���� `�) <br /> � � s—%O - <br /> �'- � <br /> , I �-,� � „ �_; ��`;i;�� ���f����u� �- ,�-e � :�l� lc ;� �������� I ,�� - <br /> Ownef M19ail Atldress City StatelZip Phone <br /> .- �� i/l,i y <br /> TCn2nl Mail Address City Slate.2ip Phone <br /> ( �- ��� 5/ <br /> ��'rrl-��(��C� �. �r�(�c /;�f�`/ S`�5�c��� �r(�Uu�� I.�/� I`�.��� 3 �15� �53� <br /> Eledrical Contraclor Afail Address City^T State2ip Pnone <br /> �>��1 �;=oc:�_�5�- r �` 5�G�� = <br /> Stale License Number Contncl Price ol WorY. <br /> �- - <br /> Proposc Use of�uildiny Conlacl Person (Plan Review) <br /> DescriptionofWorkloBeDone: ,� �J �,, ���1 ���J /�C�'�"��`. � Gt�'�-�lL�'L. � (7�42r <br /> -5` i <br /> �C( v74,� C�i ��� ce ; -� . � ,v_e`.�vt u.a SE�'lQ �['_��X i s� � G��i <br /> --r , <br /> Lc' � G^ 1 �1 �� <br /> . <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> I <br /> � <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> !hereby certily fhat I have read anA exarnined this application and know the same fo be true and ��� ���� - ���� <br /> couecl. All provisiuns o/laws and ordinances govenung tlus f}�pe o7 woik�rill be co�npiefed <br /> ! whelher specilied haein or not The granfing ol a perrnd does not vesurne te give aufhorif}�to <br /> violafe or cancel fhe provisions o/any ofher sfale or local law regulating construction or fhe <br /> perinnnance ol construction. That I am authorized 6}�Ihe onaier of Uiis property to perform Iha <br /> werk lor which application is made and 1 comply with Ihe Sfate Confrocfors La�v 18.27 RCW 2nd <br /> 296.200 WAC. <br /> '/ ��,'� y ,s' ' �� � ��/ - L ``� <br /> � ' <br /> . . sir,nati,�c � .. ' �a�e � <br />