Laserfiche WebLink
nov 03 04 01 : 36p P' 1 <br /> _ �_ <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 42�-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS AkE ACCEPTED FROM 8 AM TO 4 PM -DEBIT 8 CREDR CARDS ARE NOT ACCEPTED <br /> S��.b �S �AV <br /> PROJECTADDRESS � Y�S <br /> 3Yq <br /> p��u,� � t,�n�r r� t�a4 �-rh- 6�5�6 2��au a• 6�t 9!'�0� �3 45' <br /> Owner Mail Address Ciry � State?F P�one <br /> Tenant Ma9 Addreae City S�lelLp �?�Jp <br /> ],J <br /> ¢'�i.,AyvO+��l.. S.e�l.�l 3G�I �f/�r�i�A�/ �il'E1t�A' 4'�7.�v ��9 <br /> ElectricalContractor MallAdtlreas Gry SlatdLp P��e <br /> ����1,/.5,�/y�2 C N <br /> Stete License Number Contract Price of Work <br /> Propose�d U�se%f Building Contact Person (Flan Raview) <br /> Descriptlon of Warkto Be Done: .cL� �/�W" /"/!'��� � /�W�l N v1C.C�U�TS <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED 70 � � <br /> BE IN RACEWAYS, MC OR AC CABLE. /J v�� <br /> JJ <br /> C1TY OF EVERETT LOCAL SALES TAX COOE IS 3105 <br /> !hereby ceifily that I hava reed and exemined fhis applicaUon and know the same to 6e hve and <br /> conect. All pmvisions oflaws and ordlnances goveming this fype of wark wll!be completed <br /> whether specifled herein or not. The granting of a pemid does notpresume to give authority to <br /> violate or cancel the provlsions o(any other state orlacal law reguletlng consiructlon or tha <br /> perfamence of cons3ruction. That 1 am authorized by ihe owner o/1hkp roFerty ta peAam lhe <br /> work for which application is made and I comply wltA the State Cantracfors lsw 18.27 5lCW and <br /> 296200 WAC � <br /> // o e. <br /> ignawre ale <br /> IEoy�1-on <br />