Laserfiche WebLink
�LECTRICA�_ PERMIT APPLICATI4N <br /> CITY OF Ei/ERETT PF_RMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, V!A 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.evereltwa.org <br /> APPLICA,TIONS ARE ACCEPTEU FROM 8 AM TO 4 PM <br /> �-�' "r�- <br /> `;!�� (�%`�� � �l (�l?r< �� � �t (� � I � <br /> PROJECT ADDRESS <br /> . <br /> ,� I <br /> ������ �_1��,�7� � �� ,�I l -7� q � , <br /> i ���i ��J ,�UL 5� �Lf'✓c'/( LV�� � i��� <br /> Owner Mail Address City Stale/Zip Phone <br /> � � 'f� /�J <br /> / I �r✓ .��//-��5� <br /> Tenanl Mail Address City Sta�elZip Phone <br /> T���PJ?� <br /> Electrical Contractor Mail Address Ciry State/Zip Phone <br /> yr� ,��� � <br /> Stale License Number Co tract n e of Work <br /> c� ��,'S �Y7- b'�/� <br /> Proposed Use o(Building Contact Purson (Plan Review) <br /> Description of Work to Be Done: �L ` V(�L �e VL[�V� C1� <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRE� TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby certily Iha(1 have read and examined this application and know the same to be true and <br /> correcL All provisions ollaws and ordinances�overnmg this type oI work will be completed <br /> �vhelher specdied herein or noC The granting o(a pennd does not preswne to give aufhoriry to <br /> violale or cancel fhe provisions oI any ofher sfafe or/ocal law re�ulatiny construction or Ihe <br /> perfonnance ol co�1srruchon. TI at 1 am aufhoiired by fhe owner of this property to perlorm the <br /> uork/or�9hich a�llcatron is m�da and I comply�vifh the Stafe Conlractors Law 18.27 RCW and <br /> 296.20J�j'VAC. <br /> � :1 <br /> � //.i� ll � tiG��/�' �` 5- � <br /> Sign�ture Date <br /> � <br /> - ----_�C'`_��— <br />