Laserfiche WebLink
� <br /> ELECTRICAL PERMIT APPLICA'�'ION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 �`� ({�.0 g <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> �090 ��07 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> '-�� I l - a��'� ���k <br /> PROJECT ADDRESS ' <br /> Ck�s) <br /> C�n.�.�1 Co L�ia s '3 C� I 1 -24 i'^ Ct Et re..r� bt �c1� �1 2c�1 ZS S t9 zi <br /> Owner Mail Address City State/Ztp Phone <br /> Tenant Mail Address City State/Zip Phone <br /> � -�`� 3Coo•S�g.ul62. <br /> �1�Yyts,. �P.�+,�.e qo 2.S W �via c)r 7 ! � ��� �Ha�v� (., 4J4 F8 L iU <br /> Electrical Con aclor Mail Address City State/Zip Phone <br /> kn��� �- � �,o � cP � 2 � 4. � <br /> Slate License Number Conlract Price of Work <br /> Proposed Use oi Building Conlact Person (Plan Review) <br /> t <br /> Descriplion of Work ta Bo Done: A \-ie..� b ra�nr_�. ` r ;-t �c �� ti�c (I 3 � c K o .r <br /> V�z.._-ktr� <br /> NOTE: WIRING IN NON-DW[LLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby certify fhat I have read and examined this epplication and know the same to Ge frue and <br /> correct. A/l provisions ollaws and ordinances goveming this type o/work will be completed <br /> whether speci�ed herein or not The granting o/a permd does notp resume to give authonty to <br /> violale or cancel the provisions o(any other stafe or'local law regulating construcfion or fhe <br /> perfonnance o/consfrucfion. That 1 am aufhonzed by the owner o/fhis property fo perfortn the <br /> work Ior which application is made and I comply K•ith the State Confractors Law 18.27 RC W and <br /> 296.200 WAC. <br /> �oa - �� <br /> �� � � � �-o S l <br /> Signature Date <br />