Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org 'j .-a 3 —� �2 <br /> � i203 —a37 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 1� zfv-e s� <br /> IZ�OG A�� _ <br /> PROJECT ADDRESS � <br /> t'�'d Uiclenr� �eai��a � lMe�l i ea �_�� ��'' <br /> Owner MailAddress Cily Slale/Zipl� Phone <br /> �+ L� � ��0� �d0� ��� I � <br /> Pro� Re.a . �ne�t C�tY I fioor � � q <br /> Tenant Mail Address City Stale2ip Phone <br /> �[Q�P/'/'P E�e e�3"f�C <br /> EleCtriCal ConUaclor Mail Address Ciry Stale2ip Phone <br /> �� •0 � <br /> Slate License Number Co Iract Price of Work <br /> ;'1',h���a � — <br /> Proposed Use of Building Conlact Person (Plan Review) <br /> Description of Work lo Be Done: _ jn S 4��J17_N a � �P C'��..�_�o_�QQ/'_e]._/ <br /> '�!e—�J1' f c.l��d�1GI�J_Z'I�OJ16��-1-tr1-L� � 1� -��'1�. — <br /> NOTE: WIRING IN NON-DWELLINGS IS RGQUIRED TO fEE <br /> BE IN RACFWAYS, MC OR AC CABLE. <br /> ��Z - S� <br /> CITY OF EVERFTT L7CAL SALES TAX CODE IS 3105 <br /> 1 hereby r.mlily thaf 1 have read and examined fhis application ond know fhe same!0 6e frue and 7 7 <br /> co�recl. All provisions of laws and ordinances�ovemmg fhis type ol wodc will be comp/efed � I���r( � <br /> whelher speafieAherein or nof. The c�ranting o/a pernnt does nof presumc to give a�dhonty fo <br /> viola(e or cancel the provisions o(any ofher sfafe or local law regulalinq construclion or Ihe <br /> perlamance o!consfn�ction. That I am aufhonzed by(he owner o/Ihis prope�fy(o pedomi the <br /> work/or which applicalion is ntade and 1 cornply wifh!he Sfa(e Confrac(ors Law 1827 RCW and <br /> 296.200 W . <br /> 3 -Z3 - IZ <br /> Siqnalura Dale - <br />