Laserfiche WebLink
r, <br />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 />y3os , �Q���� <br />PROJECTADDRESS <br />iY - 23 %^ N�. /�� �� <br />Meil Address City <br />,2� c �2�>�vy-�26 <br />Slale/Zip <br />Phone <br />�r��7 �o�h��� �P4/4�v° �f7oS l�4cl� er ��� <br />a�-"- '�Y""�'` <br />Tenant hlail Address City StatelZip Phone <br />. . s,24 �V�^y�eP�1 w�!'.�-l�y3o <br />Mail Address <br />Q1�ZCry�T 9��5�— <br />State License Number <br />QPS�4 � <br />roposed Use of Bui ding <br />Square Footage Qf residenlial new construction, remodel or addition) <br />City <br />StatelZip <br />Phone <br />�� S O o f7 m- T�k1 <br />Conlract Pric of Vt'ork <br />Contact Person (Plan Review) <br />FI <br />i <br />Descrip(ion of Work to Be Done: RCru n� C q,.�r� /�p iyS-fZz �' in3� /1��� I�C �T� =� <br />f�,o•� �ast � GQ,) ron_ •F t-T /� �f-C e�e _� Fi,.f. �'o,.F tn�nt�;fc F� <br />�.1�'�Fi�1IL — <br />NOTE: WIRING IN NO�-DW[LLINGS IS REQUIRED TO FEE <br />BE IN RACEWAI'S, MC OR AC CAE3LE . ��� Cj O <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby ceriily thal 1 have read and examined this application nnd kno�v ths same fo be true and � I� r _��� <br />carrect. All provisions o//a�vs and oidinances govenung th�s type e/�vork �t�ill be conrpluted �p <br />whetfrerspecifieAhe��in ornoL THe qranling o/ a pemnt does not U.'esume to give aufhonty te <br />violale ar cancel ihe provisions o(any olherstate or local larv regulahng cons,ruction or(he <br />perfommnce o/construction. That 1 arn aufhorized by lhe o�vnero/(hisp roper(y fo pedomi Ihe <br />work /or ia�hich applicafion is rnade . nd 1 comply �vilh !he State Confractors Larv 18.27 RCW and <br />296.200 WAC. <br />c�S/�4�z,o/z <br />