Laserfiche WebLink
� � <br /> EL�CTRICAL PERMIT APPLICATION <br /> C�TY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 9821'1 <br /> 425-2:�7-8810 - FAX 425-257-8857—www.evereriwa.org �j ��3//Z <br /> / <br /> AP{'LICATIONS ARE ACCEPTED FROM 8 AM T04 PNi ���p3 �Q�I <br /> i �,>� �v ��c,�� �� u �'�i � 7��=� <br /> PROJECT ADDRESS <br /> ��� 1� ���{.(,l � �11� �� � ���)� ) ��� �)�,� �� l�(.1�-J1 �1(,l ILC� F#2�',� L'VI �10 ��c' _� <br /> Owner Mail Mdress Ciry Ste�e/Zip Phone <br /> Tenanl Mail/Wdresa Ciry Stele/Lp Phone <br /> ��';�( � c(�j'',� 1l'L{'Gt�l 61G� <br /> EI dricel Conti dor Mail ress �rY S�e�elZ�p Ph°� <br /> %�� �C� �1G'�C� �E' �'� �� _ <br /> State License N ber Contrad Pnce of Work <br /> Proposed Use oi Building Con�acl Person (Plan Review) <br /> �escriptionolWorktoBeDone Il� �� l"�-��� V�[.-�1 ��L/�� ���(� .,d�Ll( 4'��All ' <br /> 1 <br /> NOTE: WIRING IN NON-DWELLINGS IS REDUIRED TO �E <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br /> 1 herony certily fhat 1 hove reed enA exemined this applicafion and know fhe same ro be true and C� Z�ti � ��Y� <br /> correcf. All prov�sons o!laws and adrnnnces govemmg fhis type o/wak will ba completed <br /> wbether spec�fied herein or nof. The gr&nfing ol a permd dces nofp resume fo yive authonty fo <br /> violafe a cencol(he provisrons ol any other stafe or local law mgulefing conshuchon a fhe <br /> poAormence o/const c6on. Thef 1 am oufhaized by fhe owner o(this propeRy to pedam the <br /> work!or whrch app4o5�on is mado and 1 cnmply wifh(he Sfate Conhadas Law 18 77 RCW and <br /> 286.200 WAC. 7 <br /> � / � �- ��- �� �� ( Z <br /> Signatu� ate ` <br /> i <br /> /-/ I <br /> � I <br />