Laserfiche WebLink
.-- — <br /> ELEC�'RICAL PERMIT ,�P'PLI�CAT!ON <br /> CITY OF EVERETT PERMIT S�ERVICE:S ' <br /> 3200 CEDAR STREcT, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.?veretlwa.crg <br /> APPLICATIONS ARE ACCEPTED FROM 8 APA 1'O 4 PM <br /> --�C \ <br /> � ��.'� �1'�h �Y. ,� ���1_\l. <br /> PROJECT ADDRESS <br /> L'�-\'`.CIY \ �li\�l�,� ��'Lr7) �LI�I — (�'��.•�U <br /> OWner Mail Address Ciry State2ip Phone <br /> Tenant hlail Address Cily State/Zip Phune <br /> 1 \�L�;����� ��iC.L'c�� iC_ l�-IG�� �5Z - y�`'I� <br /> Electrical Conlraclor Mail Address Ciry Slale/Zip Phone <br /> 1'V�C.C-,zf�% �-LC/V� 3 �v� — <br /> State License Number Conlracl Price of Work <br /> �ti�\ ��V�`� \ ��`-'�. l-�LJ ��x — <br /> Proposed Use of Building Conlact Person (Plan Review) <br /> Description o(Work lo Be Done: �/� )����. L'�� � C...J (��-l� � � C�� C�� � ) <br /> NOTE: V�'IRING IN NON-DWELLINGS IS REQUIfZED TO FEE <br /> BE IN RACEWAYS, MC URAC CABLE. ,�� I I C� ' <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> !hereby ceriily thaf 1 have read and ex vnined(his applica(icn and kno�v the same to be frue and <br /> correct. All provisions olla�vs and ord n�nces goverruny this lype of n�ork�rill he compfeted <br /> whether speci6ed herein or noL The granting o/a pen•ut does not resume to give authonty to <br /> violate or cancellhe�rovisions ol any o;her sfafe or loral la�v reguPting construclion or the <br /> perforrnance o/conslruction. Tlrat 1 am aufhonzed by Nie ou�ner o/this property to perlonn the <br /> wo�k lor�vhich applicafiun is rnade and I comply�vith th=Sfafe i,ontrac(ors Law it3.27 RCW and <br /> 290".200 WAC. <br /> ,� <br /> i <br /> ��� / <br /> � i ,��` .!� � � � � 1 L. C lo <br /> Wre ' , Oa�e ['� � <br /> ;/� �- -� � L U�ti; 12-(,!(;' ( <br /> i_ _ —_ <br />