Laserfiche WebLink
ELECTRICAL �ERMIT APPLICATION <br /> � CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 �� <br /> 425-257-8810 - FAX 425-257-8857 - a,nw+.everettv+a ora i <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> �-�l 2� �� ��oY i <br /> � �_� �- /"'- / I <br /> �o�l SttaP-� p�/ru�iVi'c ��Tr� W/°� �I��� � <br /> PROJECT ADDRESS ' <br /> �?'a'.4ZZ. <br /> �_��s��{o�_ srb[��f� �{�-�- w�t-�Sw—�Sz� I <br /> � Owner Rta I ACC�ess Gty Slate2�o Phone <br /> � I <br /> lenan���—�� -_�� �� �-'-- !.ta�lAda•ess —�—� C�ty StatNZ�P � Phcre <br /> T�• /+ l. I <br /> iC_��Abri�. £l�r_i�_5�7 �1�.�s4h„-}- I,wv�_ Cawuw,o �slun� � qbZ�Z zz5� � <br /> , Electncal Cordractor M11a�l Acdress C ty Sta:e�tp Pro�e I <br /> I I <br /> cAt�A$ �: 055 QQ '�� 24Z ,3 --- - �� <br /> Sta;e l�cense Number CoNract Pnce ot Work ' <br /> � <br /> � �side,nc.e, - � <br /> � PwposcA Use of Nudding Conla.l Person (Plan Rewew) i <br /> i5, y �� �r�1, base�+w�'f-' ; <br /> Square Foo�aqe (II residerlial new construclion, remodel or atldi'ion) <br /> I`� � �''�` ov'f'�c.{.� L ' -I I <br /> Descnpt�on oi Wor� to Ue Done �) 1__S !��__SWI LZ-�s_ - . __ —__________ <br /> �- �-- <br /> NOi[ WIRING IN NON-DWELLINGS IS R[QUIRED Tp P[E <br /> Bt IN KACEW/1YS, MC Oft AC C�E3LE. I �O� i <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 - -- — ( <br /> I hemby r.eRdy lht�f 1 have read and c.rammed this nGPlicahon and know fhe some fo be frue and ,l ' ^7 O� I r-� j <br /> conect All p�cvis�ons o/Imvs and ord�nances governinr�flns 1}pe of�rork �v�ll bC completed [� L i�] <br /> �rhefher specrlicd hemrn or nof. �he granling ol a permd docs nof �msume lo y�ve a�dhority to <br /> 1"DI.31C OI CBnLCI thr pmvisions o/any ofhe�slale orlocal la�v�egu�afing consfiuclian or the <br /> perfomrance o(r.onstnicfwn I�haf I am aufhenzed by!he o�sner ol Ih;s pmperty to peAomi the <br /> work Jor w.hich apphcahai rs made and I comply�vi(h Ihe Slale Con(rac(ors L a�v 78 27 RCW and <br /> 296?00 WAC. i <br /> I - - , ,i � -- ------�f-o��-�-- - - -- � <br /> I <br /> � -- - -- - - - - - - -- - --- - -- - --- —- � <br />