Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVEREIT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />_� �_[C B �� 1� r�6n1_. r �!p �-C� <br />PROJECT ADDRESS <br />Owner <br />Tenant <br />Mail Address <br />Mall Address <br />ConVaclor Mall Address <br />U�ti�F�qzB�nr� <br />State License Numbor <br />5�R- <br />Proposed Use of Buliding <br />Clty <br />Clry <br />yas Z53 SBS�L <br />StatolLlp <br />Stato2lp <br />`� s or� <br />Contrect Pdce of Wor� <br />Contact Person (Plan Roview) <br />Phone <br />Phone <br />Phone <br />Description ot Work lo Bo Done: f.11le nlitti> 2-31v>� S`_ �-{- 5 f-(L, � a S'F} f,.�y /.',, <br />NOTE: WIRING IN NON•DWELLINGS IS REQUIRED TO <br />6E IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETf LOCAL SAI.ES TAX CODE IS 3105 <br />1 hersby certi(y Ihnt 1 hovo read end examined this applic <br />cormct. A/l provlslons o(laws end or�+inances gaveming <br />whefher specified horeln ornot. Tho granting o/a pormd <br />violefe or cancel fh ra�lsians ol ony othor stafe or loca� <br />work Ior whlch eco IS ation Is rpade and 1 ompfy ��fh fhe� <br />296.200 WAC. / <br />end know fhe samo fo bo truo end <br />✓po of work wi/l be completed <br />not presume fo glvo authority fo <br />vgu/eting construcGon or the <br />er ol ihis property fo perform the <br />Controcfors La�v 18.27 RCW end <br />3-/D 7 <br />FEE <br />� CJ7U�—pci�� <br />f:UO:i.JO� �Ii1.L�'rl"I'tl'I'I:I\211'.1 Oti3LSC£S<'�6 TV:1 <'.7.:h1 LOOi.:OI/RO <br />