Laserfiche WebLink
� T <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 96201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM <br /> �S ? �/ u_ ' c � -4 I?� , � <br /> PROJECT ADDRESS <br /> � <br /> ���C'.; /'^� <br /> ,���� 5 ' ' �� ri• �� r, F" ` � 31 3 �z�3>375 - <br /> —�r� � � ��� t� �� ��.�,/� / � � �bLl3 �- 2 ��-ty <br /> Owne� Mail Adtlress City Statel2in Phone <br /> -�����Y--- <br /> Tenant Mail Atldress Clty State2ip 1Phone <br /> y��� 7 �r�' �✓�J('t'c`�1 k�c��,�c �� ( y�7 / <br /> �L}���NL�f'��f//! � c.���"r �'Y--._'r��'� `��GL1_3 yZL -L`I S � <br /> EleCinCa4CoMraclof Ma�l Address City � Stale2ip Phone <br /> 7' y� .` <br /> � � 1 Y G G �� � 7C L � . ��Q <br /> Slale Llcense Number ContraEt Pnce of Work <br /> 5 � /� <br /> Proposed Use of 6ullding Conlacl Person (Plan Review) <br /> DescnplionofWorkloBeDone. �r��, .�- i_1 ��' �� -��,�n4-E' <br /> � <br /> I NOTE WIRING IN NON•DWELLINGS IS REQUIRED TO FFE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby cerLly fhaf I have read and e�amrned fhis al�P6cahon and Fnow fhe same to be hue:rnd <br /> canecf All pmvrsians ollaws and orclmances governing Ih�s type ol ivork�vrll he coniplefed <br /> a�hefher spemBed herern or nol The grant�ng ol a permi(does not presume to give authonty to <br /> v�olafe or c,incel'he piovisrons ol nny oUier sfafe or local law mgula6n_q cons6uchon orthe <br /> pertorrnance oI censfruchon Thaf I am aufhorrzed by fhe oivner o/fhis property fo pe�form fhe <br /> woik lor�vh�ch appOc�fron is made and I comply uvth fhe Sfate ConVaclors Law 18 27 RCW and (� f��"0� <br /> 296 200 lh�A C. �� <br /> � `> `,�-_ � %�' J ���y z�, L�' zo�v <br /> i � ��,`SignaWre Dale <br /> I ! <br />