Laserfiche WebLink
JUL-�6-c��7 �9:97 FRUM:BOGING <br />4253428335 ":425 c57 6H57 P.1�1 <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SER`✓ICES <br />3200 CEDAR STREET, EVERETT, WA 9B':01 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED fROM 8 AM TO 4 PM <br />S3o3 w�r"w�02E /trrE <br />PROJECT ADDRESS <br />Owner <br />f�3 WE'%MO/lEM'l�` <br />Mail AdJrrse ���Y <br />�- 6�07 <br />CO 707-� <br />SlalolZip Phone <br />QWi✓6� - <br />Tenant �.1aAPndross Clly Stato2ip Phone <br />Q�� <br />EIeG�ncfll Contn, Cior Mnd Address Ci1y Stak2ip Phnne <br />Slate License Numbe� <br />Pr�d� U�iBuil�9 <br />Contract Pnce of Work <br />Contacl Person (Plan Review) <br />Description ol Wurk lo Be Cone: �%� �(lf�i � g/Q��+4 ���/ �V(��G � <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLk. <br />CI7Y OF EVERETT LOCAL SAlES YAX GODE IS �705 <br />1 hBreby Gartily Ihat 1 fluve rHaO anJ Bkemined fhi5 app7icBfiOn and hnow thc SBme fo be frUe and <br />co�ecL All provisions ollews anA ordinanres govoming fhis ty0e ol work will be cempletea <br />whefber speC�fied herein Or nof. 7he grdnfing o� o pP.rmR does nof presume to give aotnonty to <br />v�o7afe or cancel fhe provisions o/ any otNO/ stnte or �ocal law regura(ing construction or the <br />peAormance o! construclion. Tha! I am authonzetl6y fhe owner ol fnis propeRy to peAomr fhe <br />work !or which applltetion is matle .vnd 1 comply wrth Ih[+ Sfnfe Contracfors Law 1B.27 RCW and <br />296.Z00 W.4C. <br />�na� _ <br />lU ' Z <br />FE[ rh � <br />_ �Vv <br />