Laserfiche WebLink
'v <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 99201 <br /> 42.`,-257-8810 - FAX 425-2b7-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT& CREDIT CARDS ARE NOT ACCEPTED <br /> � �� �f IN'�Tn�oR� f� vE <br /> PROJECT ADDRESS <br /> Owner ldail Address City State/2ip Phone <br /> /� /I S�-�-�� �tis u,(NN� " � vc�-z f� <br /> Tenant Mai�Address Ciry State/Zip Phone <br /> v i?,o,��i��, E ���-�,� �yb 3� N. D,i��En, /7n �yNti=��ad w�- yd��� <br /> Electrical Contracto� Mail Address Ciry Slate/Zip Phone <br /> �/Z�nnEi�GE��i�7 �,00�. — <br /> State Liwnse Num6er Cc:aract Price of Work <br /> l. JYJ��711NC%.i � � /�IU/ <br /> URN� �/.d�i <br /> Proposed Use of Building Contact Person (Plan Review) <br /> � r� <br /> Descriptian of�.Nork lo C3e Done: _ _ .�('w / C���f4 �/rli SwI fc1�C' 1 '�vr Q f�/C ✓PG �C <br /> C,�;,f �'��f�;�s _ <br /> NOTE: WIRWG IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby certifv that 1 have mad and examined;his application,;nd know fhe same to be true and <br /> correct. A/l piovis�ons o/la�vs and ordinances goveming this type o(work will be comp/eted <br /> whefher speciGed herein or net. The granting o/a permd dr,es na presume to give authonty to <br /> violate or cance/!he provisions o(any other state cr local law reg�.lating construction or ffie <br /> performance ol construction. That I am authonzed by the owner ol this propeRy to peAorm the <br /> work lor�vluc a lication is made and I compry with the State Contracters Law 78.27 RCW and <br /> 296.20� . <br /> ' /���� � vy�/s U�-� <br /> Signa�dre Oate <br /> / <br /> y�— � <br />