Laserfiche WebLink
,� � <br /> ` <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8P57 -www.evereltwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM 7 `���6 <br /> _i � 21 �c.�,.i��✓ wh�-t N� �S <br /> PROJECT ADDRESS <br /> f nC -P L.; I� r' ��' t�r���� <br /> � .�.�,: N� is-t� �'- , r.« t k�.-,.. .•:c ��q ��s�� o <br /> Owner Mail Address Cily SlatelZip Phone <br /> ;i�,�. <br /> Tenant Mail Addiess _ Cily � State/Zip Phone <br /> yn A. , �n�..ii�. S (�� .._�6(r(„ 4�s y `l3 4'sS`7 U <br /> f�..t�i,, p 2.-.�nrJ -•FU r � .� � ) _7 .�-A 9�pt� ( <br /> 3�•�-! ,ti'c / �'L �L`r 1 ii - <br /> Eleclrical Contrador Mail Address Cily Slale2ip Phone <br /> � <br /> (; cL L`l�l `il:`� / �000 <br /> State License Number Conlracl Price o(Work <br /> , �'�c�. �d-;��� <br /> 5,,,• �r <re-� .I� K`1�c(:. � <br /> Yl� "Y y .S 3 0,-, <br /> Proposed Uen.of Buildin Contac�Person (Plan Review) <br /> Descriplion of Work lo Be Dono: �'� S l f�t � n,'*�J L, � c rt ���� (e-.-r' J Sw��-c�-t J � Ow i�( f-� . <br /> f� � cc,l,�� i n'r1J���- bhJl- loil-( I�q��i,T,-� i�n✓,11�,..y �.3t4.� itil +�nl/i.v) �vc��./•Ai <br /> I,: I �.. n.-.,,�i_�� , t, i . , �l.y �i r,n. �.�� �1 J;...I�/ a. � A .�J /�' '�- . — <br /> � �1 �'1..i ✓I ) <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> [3E IN RACEWAYS, MC OR AC CADLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I I hereby certi(y thaf I Irave reaA and uxamined fhis application and know fhe same fo be frue and <br /> � co�recf. All provisions ol.aws anAo�dinances govemmg fhis fype ol wo�k�vill be corriplefed <br /> whelher speaGed herein or noL The�ranlin�o/a pennd does not resume to give aufhonty fo I <br /> violate or cancel the r�rovisions olany olher stale or local law�e,quPting construcfion or tl;e I��' <br /> performance o/construcfion. Tliat I am aufhorized by fhe o�vner o�this property fo perfonn the � _ � <br /> �rork ler which applicalion is made and I comply wifh the State Conhacfors Law 18.27 RCW and � � <br /> 29G.200 WAC. ., �� <br /> �V��,. � �1 � � � ��� <br /> ,I ! <br /> 2. �;� � <br /> . J �/ U �Gi �j'� � �''/p� <br /> Signatwc Gate <br />