Laserfiche WebLink
PROJECT ADDRESS <br />� ; � ; <br />Tenanl <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERh71T SERVICES <br />3200 CEDAR STREE �, EVERETT, WA 98201 <br />425 257-8810 - FAX 425-257-8857 — www.everettwa.oro <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />�1A,.�[ n' <br />Mau Addross <br />Mail Address <br />! 1 <br />Clty <br />Cily <br />� � <br />-- � � ! �/�� ��� v - �i. f�%: �! <br />Slate/Zlp Phone <br />Slale/zip <br />Phonc <br />r • , (J - <br />' i.-'I�-.. �' �� l� �. -—i17�{I_=� ( ��d'N� :c"� ���',r ;'1 `/;rJ <br />ElOclric:tl COnitacluf htoil Address 'ily Stalurzip Phnmr <br />'� � �; � ; i. i 1 1=� -: �; [� <br />S�ata Llr.ansc Numbcr <br />�� � <br />��. . � �)�� i� . <br />Proposed Us� ol [3uildiny <br />Doscrip�ion ol Work to Oe Dunc� <br />( � il��„) �- ,'1 i\ . ( <br />NOTI= WIRING IN NON-DWELLINGS IS RE�UIRED TO <br />CiE IN RACEWAYS. MC OR AC C�DLF <br />ri��`�, <br />Conlract Pricc ol Work <br />Contacl Porson (Plan R�view� <br />t I),�i��l l•.` � �1 1 <br />C�TY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereb} � crtdr' fh��l I hat o n�.id unA �•a�Finwn�J Ihis +ippl�� ntn�n nnd know thn same fo Go �nio enA <br />cum���f Ali prvusinns ��! la�vs end ordmar�rns yow'niing tliis ty��� ol worM �rill bc compinted <br />�rhefhi�i sp�i��hed hrrom ur not Thr yranfmp �>( n perrnd d��nc nof rres�nno fo givn euthonfy fo <br />violati� �a r.uir.rl (hr `mnasions ol nny ofhe�r sh�fr or lo��nl la�s mpu�ating consfrur,fion o� fhe <br />perlormnna� o! cnnsiruction Thaf I mm �idhon:���l bp the o��ne� ol fhis p�cperty fo perfunn fho <br />wurh lo� �iliich npplirnfiun is rnndo tinA I cumpl}� �sifh (ho Stnfe Confiacfors Law f8 27 RCl1� end <br />296 2U0 N'AC. <br />!. � ' i <br />., <br />-- � � - —�--- ---------._...— <br />tiinn,dmu <br />' __ _ '__- <br />FEE <br />'� ��)� �l` . . � '` `� <br />