Laserfiche WebLink
ELEC�RICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES { /2/, Z <br /> 3200 CEDAR STREET, EVERETT, WA 98201 `�� <br /> 425-2:57-8810 - FAX 425-257-8857 -www.everettwa.org ��Zd S-Dl(p <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 143 o u1. GqS��►o �0 '� 3 � I <br /> PROJECT ADDRESS <br /> i o� ��qz�c-�L 14�D W Go-s�,Jo Ro "3r I L'-vC-��l" ��r� 4$2o�F (�+ts)353-� <br /> pyy�e� Mall Addross Clty Slate/Zip Phone <br /> Tenanl Mall Address Clty State/Zip Phono <br /> (.v9.-,��i�Jb�.�l AlaTu0.4tbr�'S -�uSW.CA?!��^Q�J SiE?1r�JcQ.E'Rf�aJA 99.z.D'� C�R�sti sw� <br /> Eleclrical Conlractor Mall Address Clly Slale2ip Phone <br /> �5�i ti it q nn.��' � � �-`?'. � �-! <br /> Stale Ucense Number Contract Price o(Work <br /> (-rt5(/1 l�"1 aL2�3 e.J <br /> Proposod Use of Bullding Conlacl Person (Plan Revlew) <br /> Descriplion of Work lo Do Done: ("�'`� �-tl ✓1,iJ�}CL AN� TN£�N6 .7Ti4T CF/�t'�/L�L��� <br /> NOTE: WIRING IN NON•DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. �Oe'�`� <br /> � <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 �I � �S U I ( <br /> I hereby certily fhaf 1 havo roed and examined fhis applicnfion and know tho samo fo bo Irue enA <br /> 1� <br /> corroct All provlslons ollaws and ordinances govemmg fhis type of work will be complefed <br /> whefhor spoalled herein or noL The yranfing ol a ponnd does nofl�resumo fo gfve eufhonty fo <br /> vlolafo or cancol fho provlslons ol any ofher stato or locel lnw regu nting consfrucllon or Ihe <br /> peAnmianco o/constnicfion. Thof 1 am euthoiized Gy fho ownor ol fhis propeRy fo pe�fomt fhe __ <br /> worN lor whMh epplicaliorr is rnade end I comply with Nra Stefa Conlrec(ors Lew-18.27�HCW-end----��--'--' <br /> 296.200 WAC. <br /> 1 \ Y//� . �� �J� ���Z <br /> —�—�trv��vl ua�e <br /> Signalure <br />