Laserfiche WebLink
� �-i Z3 <br />PROJECT ADDRESS <br />Owner <br />Tenanl <br />C�� ��U��1�'� <br />Eleclrical Contraclor <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CF_DAR STREET, EVERETT, �NA 98201 � y� � e <br />425-257-8810 - FAX 425-257-8857 - www.everetlwa.org � <br />APPLICATIONS ARE ACCEPT�D FROM 8 AM TO 4 PM <br />. <br />� ���� C��L-LV� <br />�%�'zJ <br />hlail Address <br />hdail Address <br />�����i�,��� inC. <br />M11ail Address <br />C���r�� `jZZAlj <br />Stale License Numher <br />�� iL�� 1 <br />Proposed Use of Buildin� <br />1' /'�> \ <br />U <br />�,L�C�CjiCC•) �^-'``% <br />Gty <br />City <br />�/��7 i'o (3 a y <br />Cil�, <br />:G'�� g�� lZ'v�. <br />StalelZip <br />r �, <br />Oescriplion of Work to Be Done: _ �� e I=� °Yl �� / � G, � �� S Q I�� <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SAL[S 7AX CODE IS 3105 <br />1 hereby certi/y (hat 1 have read and exarnined fhis applic <br />correcL All provisions ollaws and ordinances govemrng <br />whether specilied here6i or not. The �rantinp of a pernuf <br />violate orcancel fhe provisions o(any othersfate orloca <br />performance o(construction. That lamautfrprized by th,< <br />work for �vhich applicafiopis madc�and 1 co�dpty u�ifh fhe <br />29G.200 WAC. / , � <br />Stale/Zip <br />�,;� w�� <br />SlatelZip <br />� � �����5 <br />Plione <br />Phone <br />�c z33 ��r,_)z�� y,�� <br />Phone <br />�OG <br />Contracl Price of Work <br />Conlact Person (Plan Review) <br />and knoiv fhe same fo be true and <br />ype ol �rork will be complP��d <br />nof presume to give a�thonty to <br />egu/ating consfructio�� or the <br />er oI tl�is propeRy to perfomi the <br />Contractors Laiv 18.27 RCW and <br />�i�--- �' - 3 -� �, <br />� 30 ��Ie�,i /i���� <br />�EE <br />��g�-OS <br />