Laserfiche WebLink
( + - <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVEREI T, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> ���� �e���� ��� _ <br /> PROJECT ADDRESS <br /> n "� / ���— <br /> �1co� 1�c11<,'�� ���i�X 5��51 �'ue.re.� Z�� ���Ct� � 7�8 <br /> Owner �dail Address City Stale/Zip Phone <br /> �� �Ll�,�(>,� <br /> Tenanl Mall Address Ciry . State2ip Phone <br /> Vr��tl� �1PCti �C�1 �UluiionS �U �S�'��'�"�i�af fl _ WA ��mV6 ��'��-.�� <br /> Eledrical Contractor Mail Address Cily Stalerzip Phone <br /> �;Q�.�ti�5H0��5 <br /> Ltate Liconse Number Contract Price o(Work <br /> Proposed Use oi Building Contacl Person (Plan Review) <br /> Description of Work lo Bo Done: �i�S� 5� r 1 �.���v �-Or5/'i„�Cl)G'� , /���2Y Hl� l�` <br /> � <br /> ��� �f�/�U�CC <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN R,4CEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ce�tity thaf 1 have road and eaamined fhis application and know fhe same to 6e truo end <br /> cortect. AJ piovislons o(laws nnd orrlinances govommg:!�!�rype ol work wi/l Go complefed �ir <br /> �rhetlier spec�fieAherein or noL The granting ol a pennrt does not presume to give authonty to E �(,��V l —�' c.�-� <br /> violafe or cancel lhe provisions ol any other state or locnl law rer�ulating construchon or fhe <br /> peifomiance o/consl�ucfion. Thaf 1 am authonzed by fhe owner o/Ih�s property to per/omi the <br /> work Ic which aqp!lcation is nxde and 1 cornply with fho Stato Confiactors Law 18.27 RCW and <br /> 296.200 WAG�;' .7 ., <br /> �'�� � j. <br /> _ �; � : ��' �)U� /y ��o�a <br /> Signature Dale <br />