Laserfiche WebLink
�' " <br /> I�LECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETf, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> APPUGATIONS ARE ACCEPTED FROM 8 AM TO 4 PM -DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br /> r�r.� a3f��'r,��..�.� s��_ �� � <br /> PROJECTADDRESS <br /> -3liGr-�cS7- <br /> 1�.�:�,�0,� ,(',�o.O /'�,� �'o_ ��� �y�s �.�,�.� ��.� �9�z� <br /> OWf1 ��Ef � Mai!Atldre�s CHY � Slate/Lip Phone <br /> Tenant' � Ma:i Address Cily Slate2lp Phone <br /> ��'� � ��`. `� � <br /> GI'� /�!'7�ie t/�c�rir �Q- �uX �X�� D.riid/ � � /D�7// <br /> ElectncalContrector MailAtldress C�1) � , Slat� ����yPly/pn/e' <br /> ��� V���-��/C:.� �5/`� <br /> �Y�� <br /> Slate License Number COntrar,t Price ot Work <br /> !S��C <br /> Proposed Use of Buildin9 ContaC Person (Plan Review) <br /> Description of Work to Be Oone: ,���1' �X�' �i�r <br /> / <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE, <br /> CITY OF EVERETT LOCAL SALES TAX COOE IS 3105 <br /> !here6y certily Nat I have read and examined t6is applicatiw�and know fhe same to be true and <br /> correct. Al!provisions o/7aws and ordinances goveminq this type of wak wil!be complefed <br /> whetherspecified herein ornol. The grenh'ng of a permd does nofp resume to give authority to <br /> violate or cancel the provisions ol any other stete orlocal law regulafing conshur.lion or the <br /> perfortnance o/construcfion. That 1 am authonzed by the owner ol this property to peAortn the <br /> work for which applicalion is made and!comply with the State ConfraIXors Law 18.27 RCW and <br /> 296200 WAC. <br /> � .,?����.�.��/��� ���� <br /> SignaWf! Date <br /> � U� `�^ / <br /> I 'd bES8ES909E �?�z�ai3 ��?z�H aTi �OI SO ET ��C <br />