Laserfiche WebLink
r @? <br /> � <br /> ELECTFtICAL PERNiIT APPLICA�ION <br /> CITY OF EVERETT PERMIT SERVIC�S <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> �, <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> / <br /> �2ti�.ti#A �� S� <br /> PROJECT ADDRESS � <br /> � � <br /> �(�� G'� /LJ fu-�� Stala/Zip Phone k5 <br /> Owner Mail Address ���Y ' <br /> c, <br /> � � . K - ,C'�iu'�,t'h,s.a! w,ax �M 1'�s�h I'c�� it �A- 96��3���i���3 � <br /> Tenanl Mail Ad ress <br /> C�ly SlatelZip Phonc <br /> � �;��r� lct,z�.i���� �i �i�,� ����3 �C�n��l��.�� wr� 9go3G °�asavo-�� <br /> Eleclrical Conlractor Mail Address <br /> Ci Slale/Zip Phone <br /> , ���, mG <br /> .��U�P,�' ��� U �� f J rt- Contract Price of Work <br /> State License Number <br /> ���+�Z Y A� � Conlacl Person (Plan Review) <br /> Proposed�P se of uilding <br /> � <br /> , .. ' GC t ' L ���c� �4 <br /> Description of Work l0 8e Done: it `% <br />� <br /> t'� <br /> FEE � <br /> NOTE: WIRING IN NON-UWELLINGS IS REQUIRED TO �� <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> I <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby cerlily tnaf 1 have read and examined this application and kno�v the same fo 6e true and <br /> correcL All provisions o/laws and ardinances go�eminQ this lype olwork will be complefed <br /> whether speulied herein or noL The granting af a pernuf does nat resume to give authority fo <br /> violate or cancel the provrsions oJany other stafe�r local law reguPhng consfrucllen or the <br /> performance ol consfruc6on. That I am authorized,by the o�vner o(this properiy to perlorm fhe <br /> wo�k�or wh� i applicaGon�s m �tle and I comply wifh fhe State Confracfors Law 1827 RCW and <br /> 296 200 W� <br /> � <br /> , , 3- -�C <br /> � ��� Date <br /> Sic�n u e <br /> � ci�o3 c�oG <br />