Laserfiche WebLink
I - - -------- • • 1 <br /> ELECTRICAL PERMIT APPLICATION , <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EV[RETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 -www.everettwa.orq <br /> 11 -08-� z <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM / �Z�� —D6 � <br /> l� <br /> � S I '2- �'� I�-! ��iq-U�'� <br /> PROJECT ADDRESS <br /> Owner Mail Adtlress CAy State�Z�p Phone <br /> %�-►E �f� $�'�' �r�M� f1S =� !T� �I-ZS��� (f� <br /> 7enant rdad nddress city sta�erzin Pnoce <br /> �QASSN� �L�L"�(Z.1 ��-- � �PU ��C �D ���� i�1��'7t�20(-� �-� 7/ <br /> FleC�ncal CoNraC�or MaJ Address Ci�y State2ip � Phonc <br /> �,�!-� sS�. � �3�7 PC<-- � ���' <br /> State;icense Number Contract Pnce of Work <br /> �d�; OR��,A �c- -- -- --- <br /> Proposed Use o([3uJding Conlar.� Person (Plan Review) <br /> Syuare I�ootaye�(tl rrsidential new construction, iemodel m adddion) <br /> .-.�/� f <br /> Ucscr�plion of Work to�e Donc .�N S 1 �' � �--`- ��� ���`' 1 � <br /> - - -- - --------�� 2.�� - ��-- <br /> NOTE WIRING IN NON-DW�LLINGS IS REQUIR[D TO fL[ <br /> 8[ W flACf_WAYS, MC OR AC CAI3L[ . <br /> 5l - SO <br /> CITY OF EV�RETT LOCAL SA!ES TAX COD[IS 3105 <br /> ;ncreby cr,rtdy(hal I havr, rr.ad and exanuned Ihis appLcaP�on and kno�v(he sarne lo be(iuc anJ <br /> �onecL iiil piovisrons ol laws and ordutances qavemmg llns lype ol woik wdl he cornplefed <br /> whefhcr sper.Jir.d herein or not. 1 he granluig ol ri pr.rnvl docs nofl�resumr. In yivr, authonty!o <br /> viul�vfe or c�nccl lhc Provisions o(any ofhnr slalr, or Incal law rr.gu alui�con�huc6un nr(Irc <br /> per7orm.�nco ol r,oncfiuclion Thnt 1 urn aulhon�ed by Ihe c�wno�o/ihis �ropedy lo perlortn(l�e <br /> worfr loi which app6caG s made and I cnrnply wdlr fhe S(ofe ConUac�ors Law 18 27 RCW and <br /> 296200 WAC. <br /> � �� -�� 2 --- <br /> SignaWrc ����� <br />