Laserfiche WebLink
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 />�C'// 75i�� ST �_ S� L� (J,r-/Zz /7 �, L��- �' 2 0 J <br />PROJECT A�DRESS <br />7 � a'�--o8 <br />��0$0 7�-/02 <br />J;rc.,._ y��w�'�S �a;i,c f1� i9a�� <br />Owner hlall Address City State:2ip Phone <br />Tenanl <br />hlall Addross <br />Slale/Zip �s3 �9PZ <br />�� <br />> i/.=� /-,�ii�l,PiC�r�,�Z/G �/3�_��cF��6�i1�/�/� GU4 �Y%� <br />Eloclric:d ConlraGor ldau Address City S�aimZip Pnor,� <br />e�' <br />5��;%� LrNc=gy�SDi s��o <br />S�alo L'tcensn, Number Contracl Prico o� WorM. <br />��.Ii�C — ---- <br />Pro�wsed Uso ol tiuildin�� Conlacl Pcrsen (Plan Rovicw) <br />Doseriplion o� Work to fie Uune. !�'-, <br />��-c �1�: <br />% /I�lZc r. � <br />' � � -7 J�S"�_��_ <br />� <br />— — � h _– r_k,� ' _._r_�<:�_ � ��-t__�1 �, � �; � � � � _ � 2L ' c r- <br />br=i� Cc2cc�iT <br />NOT[ WIRIIJG IN NON-DWELLINGS IS R[OUIRED TO <br />HE IN RACEWAI'S, MC OR AC CA4L[. <br />CITY OF EVERETT LOCA� SALES TAX CODE IS 3105 <br />1 heroby cetfily fhef 1 have road nnd exemined this applicnfion nnd kno�ro the same lo bo huo enA <br />cormcl. AIlprovisions o�laws anAorAin.inces gevornmg this fype ol �rurh will bo completed <br />whelhcr specilir.Ahere+�i or noL Thc prnnlin� o! n pernuf does not ��asumo fo give authnnty fo <br />viulate or cnncel Uio prorisions o! any ofher skife or lonel lmv mguloling consWcfion o� fhe <br />pe�lom�ance o/ mnstruction. Thof 1 ani aufhorizeA b� fhe u�vner olfhis property fo pe�fomi the <br />wo�k Inr wl�ich npplicntion i5 �»�de and I cornply �rifh tlie Sfate Confractors Law 1827 RClS� anA <br />zsc z�o �vnc. � <br />_ � _� <br />' /, `—� %��_7`'`--�9 <br />� Siuna4u� ' ' {— Uala <br />FEE <br />/����,�C�� <br />I/ <br />