Laserfiche WebLink
��.lay '�:' OS� 0'_�15p Brandon Phillips <br />425-397-8604 p.2 <br />ELECTRICAL PERMIT APPLICATION <br />�ITY OF EVERETT PERMIT SERVICES <br />320D CEDAR STREET, EVERETT, WA 98201 <br />425-257-f3810 - FAXd25-257�857—v�nvw.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />`t�� 1 ��� � k�,� b�/� _ <br />PROJECT ADDRESS <br />�,�sr.� �d � 1'�,:.cc i � A-��- r-.vzY.c�1� Z,vh �It�W i <br />0��71Cf tdaillvldmss Clty Slate2ip ?hone <br />Tenant <br />Eledrical <br />L1ai! ACdress <br />ldad i.dtlfess <br />P11lLLr�(,d12 n<17� <br />State License Number <br />u�5 i c�_c'.infl'c� � <br />Proposed Use of Buildina <br />U:suipGon of VJo�k to Be Done. <br />L,1 <br />NOTE: WiRING IN NON-�WELLINGS tS REQUIRED TO <br />6E IN RAC[WAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />C�Ty <br />Cily <br />S�a;e2ip <br />S;ateJZip <br />��fICU <br />Corrimd Price of NbrK <br />�'�YCti'l�l�l <br />Contact Person (Pian RevievQ <br />I hereby certity tl;a7 I lia✓e read ond examined this eppliwlion and kno�v Ihe same (o be true antl <br />cnrmct. Nf provisions o(laws and orchnances govemmg flus type olwerk �sil1 Go complefed <br />whether specified heiein Cr noL The granting o/ a permd does not presume to ,qive authonfy to <br />viola(e or wnce/ U�e F��rsrons o! any o!her state orlocal la�e regulatrrg cons(�uction or tt�e <br />porlormance c/ conslruc(ron. Tnat f am autborized b}� flro o�.vner o! fhrs property (o padam :he <br />��e�fc !cr �vh�ch aPP���a(ion is maoe and f con�ply witt� tho Slate Contractws Law 1377 RCW anA <br />296.2�YJ WAC. <br />FEE <br />L������� _ i z� <br />PhonC <br />PhOne <br />