Laserfiche WebLink
n� <br /> ELECTRICAL P�RMIT APPLICATION <br /> CITY OF EVERETi" PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 4:!5-257-8810 - FAX 425-257-8857-www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED �ROM 8 AM TO 4 PM <br /> _ .5-G / a cv �rz,� <br /> PROJECT ADDRESS <br /> S6/o u� D�i v,� <br /> J /1-N, S G o TT ST�! NG A-.p G L2 t�v � Gv.¢ 9g ZG3 <br /> Owner Mail Address Cil <br /> Y Slate/Zip Phone <br /> G��" Z-GO - �/� <br /> Tenant Mail Address Ciry Slale2lp Phone <br /> ,ff2i c 5 ,�L,�.c q3/! �BB�ST�� �,{cO.yGryis,v !vA 9829 <br /> Eleclncal Coniraclor Mail Address �i� ' <br /> Y Stale/Zip Phone <br /> a6a �L� -<z�b <br /> �✓y/GS/f293� 9 <br /> State License Number Conlracl Price ol Work <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Descriplion ot Work to Oe Done: .A.- �D 2 d � j � / Q J �L!> � <br /> NOT[: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> 8E IN RACEWAYS, MC OR AC CAE3LE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 '� <br /> I hereby certilyll�a(I have read and exnmined fhis ap��lication end know the same to 6e(rue and <br /> corrcct. All provisions ol laws and orxfinances Qovennn,q thrs type ol work will be complefed <br /> whefher spealied herein or noL The granting oI a pertnrt does nof resume to give au(bonry(o <br /> viola(e or cancel the provisions ol any other stale or local law reguPting consfniction or Ihe <br /> perlormance ol construction. That I am aufhorimd by the on�ner o/fhis property to pedomt!he <br /> work lor n�hich application is nrade anA 1 corriply�vifh the Sfate Confrac(ors Law 1827 RCW and <br /> 296.200 INAC. <br /> � Signat�.i"� — Dat�/7/ '� ( /O Z (.�� <br /> v/ <br />