Laserfiche WebLink
EL�CTRICAL PERMIT APPLICATION <br />��ITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 �` a�b5 <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �b`S�q-0 ��7 <br />� ( I �� - � �j�'� `sfv�.�t '� ( <br />PROJECT ADDRESS <br />{��cv� � S�,err� <br />ownor , <br />��41 �% <br />7�enanl �-�— — <br />Hr,rlric.d Coniraclrn �� <br />Sl�d�� l.i��ensc Number <br />Proposed Usc ot Uuildin�� <br />�,-v{, a��3 <br />Mall Address <br />A1oil �dJiass <br />Ctail AAdress <br />Clty <br />- Cny <br />� <br />Slate/Zip <br />SIatMZip <br />Slate2ip <br />y.�s <br />3"� 7 -�C <br />Phane <br />Phonc <br />rnone <br />��-�� �Sv� �.�,� <br />;� <br />Contract Price ol Work <br />Contact Pcrson (Plan Reviow) <br />Description of Work to Bc Donc: r` I'�-�' :'� d �F V �'i �-e- i f��� t'—� �-L�'-'^ �<-- <br />NOT[ WIRMG IN NON DWELLINGS IS REOUIR[D TO <br />L3E W RAC[WA1'S, MC OR AC CA�LE. <br />CITY OF EVERETT LOCAL SALES TA% COD[ IS 3105 <br />FEE <br />I h�vuby rorhly fhaf 1 hnvi� i��ad dnd ��xamin��Afhis appLcn6nn und knu�v fhe snrne lo be 6ue ond <br />cnnecf AO pro��is�uns ul laws nnd oNmanr��s go�•rnun�� fhis fype ol wvrk wiU be r.ornpleted <br />tt-hefhor specAlcd hnrem ur nof Thr g�anfm� o! a pe�rrut rlocs nof rresunre fo Qivc ��uthorify to <br />vlulnfe or cnncrl Ihr Ivin-is�ons ol anp nihei sfofe or l� �cel la�v reguf�6ng conslriic6on or fhe <br />perlorrnance nl t'onstnicfion ]'haf 1 tim aufhonti�d Ly fhe owner of flus properiy to perlorm fhe <br />wo�h lor which appli� ah�n is rnadr ond I cornplp �vifh fnc Sfafr Confr- �tas L�w f 827 RCW �nd ��.J �'�/ � <br />7fiti 200 11'AC'. <br />) � <br />� 1 �';� -('� <br />�__(( i '��i � %<_I c��� -- <br />tiiqn;iluii� Dalc <br />