Laserfiche WebLink
. '� <br /> ELECTRICAL PERMIT APFLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810 - FAX 425-257-8857–www,everetiwa.org <br /> APPLICA710N5 ARE ACCEPTED FROM 8 AM TO 4 PM •DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br /> (�,� i� � � — <br /> � �J/, ;1.� �i.�-� J .�,� � <br /> PROJECT ADDRES'S <br /> , I / �� �;%-jj�� <br /> 1� 1 -x. �f �� l�: �;1 /i����. J�IJ ,(�-� j� ,/ ' �. <br /> < ��,� ; ., � ,� ��.. �_-„/ G�r �%:,��� <br /> Owner ' ' htaitaderess ciry Stale2ip Phone <br /> Tenant � MailFdOress <br /> . City Slate2'n Phone <br /> /—,,!f�:f;iJ�r/,�/� /../,�:��/..�i�� J <br /> �/�i� /f/�I.ii/��I�/�/�/,/� ` G� t4;�il,C // ��/ / � :i/i// G�.� � �/�/�,:-.��X J <br /> Electrical Contrador Mau aadrcss Ciry Slate/Zl�/�� — pha� <br /> f..d//1 <br /> ���� ��� �" f %7��CU /�;�7 �— <br /> Sate License Number Contrad Price of Work <br /> ,�/ �y <br /> �f'/� ��i./:/'i/I`�i� <br /> Proposed Use o!Bwlding Contact Person (Plan Review) <br /> i G / � <br /> �escrip;ion of Work to Be Done: ��� /:.�% l�/ � ///�l/�J rj-.� �/,�9//lii <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OP EVERETT LOCAL SALES TAX CODE IS 3105 <br /> !herobY ceRily that!have reatl and ezamined this appliceGon and know Mo same to be tnie and <br /> conecf. All piovisions oflaws and orrlinances govemrnglhis type of wak wi!!ba campleted <br /> whethe�specified herein ornol. fie g�anting ol a permrt does nofp resumn to give aulhontylo <br /> violafoorcancolthe provisionsolanyotherslateorloca!lawrogula6ngncnnshuctionorfha <br /> wo�or wh ch app/can(ico�s made and!compfy w(h fhe bYafeBConRector��aw 18 27 RCW end <br /> 296.200 WAC. <br /> �i , . i� /%//� K � l% � <br /> Sign re Dale <br /> I .Easc+�-pa3 <br /> z 'd bES8E5909E oi�zoal3 uoiZoy dzb : TO SO 20 9nd <br />