Laserfiche WebLink
� —� <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVEf2[TT, WA 98201 <br /> 425 257-8E310 - FAX 425-257-8857 - www.everethva org <br /> APPLICATIONS A�7E ACCEP7ED FROM 8 AM TO 4 PM - DE81T 8 CREDIT CAROS ARE NOT ACCEPTED <br /> � j :� �- � � !' J II � '�� �_- <br /> PROJECTADDRESS <br /> i.�'Il� �'�f � Ci{J (;�� I ��, II ;�f �� �� f �iL� !_ V(�'1 �(� ��'!� `� �• ��'�� Xr'� � � �,.� �r,17 <br /> OWnBf MadAddrese City Slnle2ip Phonc <br /> Tenant Mail AOJress Gty SlateiZip Phonc <br /> jJ �,r�C'1' l"�c'(�rir 1r'i ,�, � i. � �_� �" � ����' �d �= ��,� th IC I'��Ile' v�l�; �Ng ��,�'�;�ir; � <br /> , <br /> EIeCVical Contractor Mnil Address Gly SlntelLlp Phone <br /> � � l( 4�l, r.� : iit� <br /> Ll1 h' i) I: f:� � �� �1 I I''C /�'�.�� , <br /> Slate License Number Conlract Pnce of Work <br /> � � 1� � � I ,� r, , <br /> ; , � , , �; � . ��- � :, y,� � �i� l�til — <br /> Pi�posed Use ol C3wlding ontacl Per on (Plan Revmw) <br /> I I , <br /> Descnpimn uf Work to f3e Uone .i i! ��� �� �'� �i ��i �r'�11�� �' �1 I � ( � [ l��'. ��;'(.. �I Y � �f 1 t <br /> � <br /> — � <br /> NOTE WIRING IN NON-DW[LLINGS IS REQUIR[D TO FEE I <br /> BE IN RACEWAVS, MC OR AC CABL[ i, �I �(% <br /> i CITY OF EVERETT LOCAL SAl ES TAX COD[ IS J105 � <br /> I heroby c�rG(y Ihil l Iravn iead and ex,7nnned flr�.s npphcallon t.�d Anoiv Ihe sarne fo bo fni¢and <br /> conecf All�rrovis�ons nl l�ws and ordinances gnve��unq tn�s tyPe ul�snrk�rdl bo nnmplefnd � <br /> whofhor speciGuJ hwmn or rro! Tlto yranfin�7 ul a penrid docs nu/ �resurnr. fu grve auflionty to � <br /> violalo or cancel Ihe p�ova�ons o!nrty o(ho�sfalo or Inc,al law rogu��Gng eonshuchon o�Bro <br /> pnifo�mance ol conslnichon Thaf I mm�uthonmd hy Ihc rnvner o!fhrs proporiy fo pcAorrn(ho <br /> wrnk lo�which applrcahor rs rnade and I cornplY wdl:fhn Sfafc ConVar.fors Law 78 27 RCW and <br /> ?9fi 700 WAC <br /> � � � � , �- <br /> � � <br /> � <br /> ;.�^ ��' �� l� � ' � � I � ' t � �� �� � <br /> Ciiyqa u r UdIC <br /> , � IJSIG' -(,'�I�i <br /> I <br />