Laserfiche WebLink
ELECTI�ICAL PERMIT APPLICATION <br />CIT'f OF EVERETT PERMIT SERVICI=S <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />� N <br />� � •'l �- j i�i <br />PROJECT ADDRESS <br />Tenant <br />� <br />. <br />c���L _ <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />� �r <br />/� � <br />,S .5"j� - i � /1i Sc-. G'-t: �r,4T� %ll: <br />MailAddre�s <br />Mail Address <br />�'/X�-�.. � 'fi�..Gr.� !l .i� <br />ConUattor Mail Address <br />Ciry <br />City <br />Cl/� <br />Ciry <br />nI/� <br />/� y�f'/lm� f �' 77�ec/ <br />State License Number <br />� , <br />/�l �[�r� r_. <br />Proposed Use oi Building <br />,-7 / � <br />Description of Work to Be Done: _��.C'l��t l�- �>•, ��`� � <br />NOTE: WIRING IN NON•DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />State2ip <br />State2p <br />j�j__ i��; <br />Phune <br />Phone <br />�« ��=f% .�CE-�-��`FJ <br />StalelLip <br />9/�6�C/ � <br />Coniract Price of Work <br />ContaG Person (Plan Review) <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I he26y ceifily fhaf I Irave read and examined fhis applicafbn and know Ihe same fo 6e frua and <br />conacL All provrsions o! laws and ordinances goram�ng Ihis type ol wak will Ge oomplefed <br />whether specified herein or not. The granting o� a pemrrt dces nof presume to give aufhaity (o <br />vio/ate or cancel fhe provisions ot any otherstate or locallaw regulating aonsfruc7ion or fhe <br />uedormance o( oonsf�uIXron. Thaf 1 am au(honzed by fhe owner of (h�s property fo peAorm (he <br />r, ork lor y��hrr.h app!icafion is made and I mmpty �.dh fhe S!ale Conbactors Lativ 18 27 RCIh' and <br />/� ����� <br />Oa(e <br />FEE <br />� 0606- � <br />Phone <br />