Laserfiche WebLink
r- --- � ;yG � � <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES C ���� <br /> 3200 CEDAR STREET, EVERETi', WA 98201 I / / <br /> 425-257-8810 - FAX 425-257-8857-www.everettwa.org ��7J '7 W <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM S"�3"XI <br /> � /yo -Ogz <br /> � �i �(J ��r trif// Cv e. f�IC /�G�� ('C �JCc.� �J U i 7'e. � � � <br /> PROJECT ADDRESS <br /> G/ ,/ 9d'/6 0 <br /> T'GG�GI.l.�2. / /l� � �� �/t v � , �� cJ'r u re/� e yi/� <br /> Oimor Mail Addross City State2ip Phone <br /> �e�9�o vo ���7�" � oP���s�s� <br /> ' T�nan� h7ai�ess City Stalo2ip Phona <br /> � r <br /> �s�a� 3 s�� � � �.� . <br /> i h � v- � �� e�r i^L �-/h n u�o�� 1//� 98n� ? <br /> Electrical ConVactor Maii,4ddress c� Siatn2ip y2 S�y j S 7 <br /> S //�l'� �%' -L l�!� C� 3 �/. 02 O Z� � � <br /> tate License Number Contr�ct Price of Work <br /> �/� � �tiTtil� � ��1 a O �LI P� C_ r tq J— <br /> Proposed Uso of Building Contact Person (Plan Rovio�bj p� "� <br /> a-v6 73v � 6 <br /> � � � y,,7`� o / <br /> Doscription of Work to Be Done: -r'^ f / w�(' i � �- C �.� J'�" F' L' _� �-• <br /> �� � Y/ �rt 41 �1 C /r 1_ / r � / <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. �^ �� <br /> l� <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ceriify that 1 havo reed and exemined fhis eppllcaflon end know the same fo be truo and �I y O�_��Z <br /> correct. Afl provlslons ollaws and ordlnancos govoming thls type ol work will be comp/oted <br /> whefher speclfied herein ornoL The granting o/e pormif does nof prosume fo givs authonry fo <br /> violate or cancol the provlsions ol any othor stale or local law regu/eUng consWcUon or(he <br /> perlormance o/cons(ruction. rhef!am aufhorized by the o�vner o(fhls property fo peAorm the <br /> work lor which appl/ca(ion!s made and 1 comply wifh fhe Sfate Contractors Law 1827 RCW and <br /> 296.200 WAC. <br /> �� �%- �_F-� � �/���_ <br /> Slgnature D e ' <br /> 7 8 `= <br />