Laserfiche WebLink
-111 <br /> • <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 /> V7c7 i- R 0 - E l vi T7 t 4 <br /> PROJECT ADDRESS <br /> 1L�? �'cxs�� L (� /V) i+1-1a se&t 046 -LA1Eif w-A-C/82C3 4-25-4032,13 • <br /> Owner Mail Address City State/Zip Phone <br /> �? �� t= `\�'HT1► 1 < �� <br /> Tenant Mail Address City State/Zip Phone <br /> COKki �Z EL J /A/16 - MAP L L..�o� A c{,E ;CI ? iSf /W I'i 'Zry 3gd6 <br /> Electrical Contractor Mail Address City State/Zip L) , hone <br /> C CINIEI c3icaLco <br /> State License Number Contract Price of Work <br /> C'0111aYIEt- •I At ;{Lgh 14,0 <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Square Footage (If residential new construction, remodel or addition) <br /> Description of Work to Be Done: ` kiL / � •�/r�`(rv�] }� L- ft-TS <br /> VV <br /> UTLE T{S (p <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS. MC OR AC CABLE. 50 <br /> 2 <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby certify that I have read and examined this application and know the same to be true and 1 f <br /> correct. All provisions of laws and ordinances governing this type of work will be completed E) q-f - O� <br /> whether specified herein or not. The granting of a permit does not presume to give authority to I l 111 <br /> violate or cancel the provisions of any other state or local law regulating construction or the <br /> performance of construction. That I am authorized by the owner of this property to perform the <br /> work for whic ation is made and I comply with the State Contractors Law 18.27 RCW and <br /> 296.200 <br /> C'-Pl.—Pk <br /> • <br /> .nat <br /> .— <br /> '.nat Date <br />