Laserfiche WebLink
�2i10/2006 08:17 3606598578 NORTHERN LIGHT ELFr,T PAGE 01 <br />EL�CTIRICAL PERlVIIT' APPLICATION <br />CITY OF EVERETT P�RMIT SER'✓ICES <br />3200 CEDFR STREE7, EVERETT, WP. 98201 <br />425-257-8810 - FAX 425-257-8857 — wwv�'.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO d PM <br />5�.21% �� t?I2 L✓ � `� <br />PROJECT ADDRESS <br />Ownar <br />Tenant <br />E�ectriczl Contractor <br />State Llcense Number <br />Proposod Use of Buiidina <br />� Y �:5� <br />h9al PAdross <br />Mail Addrus <br />/�J `�tPii <br />Mall Address <br />Ciy <br />CiH <br />h � <br />Clty <br />Slaterzip <br />SuteZp <br />S�atrJZip <br />Contract Price of Work <br />u�,n�c� Person (Plan Revlwx) <br />Descriptwn of Work to Be Done: L�^"y y�� � /��e...�Gi� �y0 N7 � � <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RAC6WAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES T4X CODE IS 3105 <br />f hern6y certlry fh3t I have reatl end examined ihls appDcedon end know the same fo be tn�e and <br />correct. All provisions ol laws and ordinences goveming lhis rype of work wil( be completed <br />whether specifred herein or nnt. 7he pranfin� of a pem�d does notp resume to give eutbon.'ty ta <br />violate or ceocel the prvvisions o/ any other sfate o�locel law regc/aung constructlon or tne <br />pedormance of consiructioa Thei 1 am aufhonzed 6y the owner ol thls �roporty to padorr� the <br />�yorF;_(or whlch appllcation is made and 1 comply w�Yh the State Contrac(ors Lew 18.27 RCW and <br />FEE <br />�7� � <br />Phone <br />Ptwne <br />P�one <br />