Laserfiche WebLink
05/03/2012 15:22 FAX 4258357830 VARNRIA. ELECTRIC Z002/003 <br /> ( <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 -www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> as sa to /'4'T s <br /> PROJECT ADDRESS <br /> co/iST, <br /> 8706767 <br /> far ct CUUn Ta'y co/iSf Py. 90X 130 MAny<ylc( r 4�/,t �fiZ76 <br /> Owner Mall Address City Stateop Phone <br /> Tenant Mail Address City State2lp Phone <br /> yLr 33S 74600VA2NF.L1 �I Gt-21C� L401C' t S P- Z I-Ar- Sr-vFnlc I,Jr+ �b`Kf3 <br /> Electrical Contractor Mall Address City Stateop Phone <br /> k1A9-At EE_ -r, -1QM _w 7_ 7CJ <br /> State License Number Contract Price of Work <br /> D_0PLEX <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work to Be Done: <br /> 17vrn_r11rA7) TF.LrIP PO kA)r5 2 /DOLE <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. J003 <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 C <br /> I hereby certify that I have read and examined this applicofion and know(he some to be true and L- ` Ct > " C <br /> correct. All provisions of laws and ordinances govemin this typo of work will be completed <br /> n'hother speci0od heroin or not. The granting of a permit does not ppresume to give authority to <br /> violate or cancel the pprovisions of any other state or local law regufoting construction or the <br /> performance of cons Wction. That I am authorized by the owner of this property to perform the <br /> work for which application Is made and I comply with the State Contractors Lew 18.27 RC W and <br /> 298.200 WAC. <br /> nature Date <br />