Laserfiche WebLink
ELECTRICAL PERMiT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES �� �� <br />3200 CEDAR STREET, EVERETf, WA 98201 4� � <br />425-257-881Q - FAX425-257-8857—www.everettwa.org ���p�-0%q' <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />_ , , __ , / ( <br />- � � �� '� 1�-- '��(._'.l C' J� � !/Y�-( l� ��cl �C// <br />PROJECT ADDRESS <br />; , <br />;iU'J., �� <br />�:_, �1, i���1.� � c s,, � i_Yti� � � ��,_ .;� <br />� <br />Owner <br />Tenant <br />c, i/ , <br />Contraclor <br />Mail Address <br />Mail Address <br />���'C/ ��� <br />Mail Address <br />�: � :•_� � �;—� - C � c: c,S -/ =;•l <br />Slate License Number <br />Proposed Use of �uildiny <br />Descriplian of Wark lo Be Done: i <br />i���%y S - <br />, ,� T'/.- <br />,� <br />� � ,- <br />City <br />Ciry <br />� <br />«-,-J s�3 zc�/ <br />State/Zip Phone <br />State/Zip Phono <br />i�vi����c CG ;v./rri//s Gf/�r `iJ�-L <br />c�ry Slate2ip �JYf �' )US YhPhone <br />-U — � <br />� C,%c� . <br />ConUact Price of Work <br />/\� <br />.\` <br />����'C�1���! � <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />Contact Person (Plan Review) <br />,��,� H.� ) . <br />\�S7�'y �, <br />G)��'��� (�:.�9 �����/ � <br />1 G / � �.<� �.� r �: v �(` �.�: > % <br />,,, <br />CITY OF EVERETf LOCAL SALES TAX CODE IS 3105 <br />1 hereby certi(y fhat I have read and examined Riis app/ication and know the same to be true and <br />correct AI! provisions o(laws and ordinancos goveming fhis type ol�vork will be completed <br />�vhether spec�6ed herein or nat The c��anfing o/ a pernuf does not �resume to give authonty fo <br />violate or cancel the �rovisions olany other state or local la�v regula(ing consfrucfion orlhe <br />per(omiance of construction. That 1 am authorized by the o�rner o(Ihis property to pe�fomi the <br />�vork (oi �vhich application is atade and 1 comply with the State Contracrors Low 18.27 RC W and <br />296200 WAC. <br />- , �, .S <br />-_ -i <br />. � C. � �'�•- _ �, / G, � <br />r-Ee <br />��l �'�'h'- U� �'j <br />�' <br />