Laserfiche WebLink
( <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETf, WA 98201 ��� �b <br /> 425-257-8810 - FAX 425-257-8857-www.everettwa.org €�p0 g�(�� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> ��.fYo�nib� L�,« <br /> PROJECT ADDRESS <br /> SL - �'�k.—.;�---�� <br /> Owner (� Mall Address City StatefZip Phone <br /> Tenant Mail Address City Stale2ip Phone <br /> /�c 6a.n� E�c,�rc C/C P � C3ox 95� is/a�k4R..�,.� (,//a �^�1/0 �so arns t�s <br /> Eleclrical ConUactor Mall Address Ciry Stale2ip Phone <br /> �'I�C_'.��1iEL 902 m� ��Z, 6 0 0_ �� <br /> Slale License Number Conlract Price o(Wark <br /> -S�i� �l S.»�ro�e.mtnl'`_ . <br /> Proposed Use of Buildin Conlacl Person (Plan Revlew) <br /> Description of Work to Bo Done: ��w 1000.�isr� E/�c.�i'« �Sier�u 'ee 3 - �a << <br /> �/'Mi'� �' ?�� !�/l��tf(� Q D� �Y+[���.r�KJ-� �(//tl �rf� roi 177�5 <br /> NOTE: WIRING 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 �( I �( <br /> 1 hereby certily that 1 have read and exr�mined this application and know the samo to be true end � I �")�' v � ` �V <br /> correct. All provis(o�rs ollaws and ordinances goveming fhis type o!work will be completed <br /> whether specified herein or nof. The granting o/a pemuf does nof presume to give authority to <br /> violale or cancel the provisions ol any other state or local law reguleting consfruction orfhe <br /> peAormance o/construction. That I am eufliorized by fhe owner o/fhis�ropeRy to pe�form Ihe <br /> wodr/or which application fs made and I comply wifh the State Confractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> , / �'� -3��O�j/� <br /> /' <br /> .-5'8nature -� Date <br /> � <br />