Laserfiche WebLink
�� - <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8870 - FAX 425-257-8857 —www.evereltwa.org <br /> APPLICATIONS ARE ACCEPTED FRC�M 8 AM TO 4 PM <br /> ( � -� � . �� <br /> T <br /> PROJECT ADDRESS <br /> , "�. �i <br /> ----•i �.__---.�_i-.._—_._._— -J� ..0 'I �� � -� , = � � <br /> Owner A1all Addross � � Clly State/Zip Phone <br /> Tenanl Mn�i Address City Slale/Zlp Phone <br /> � � S6� -411- <br /> i <br /> �� : :,� . � � .� " � �� -�1 ..._�r ., '�,.i . ����i� �"t ��r , �� : _ `�. ti � �; �{ '• <br /> Eledricel Conlrador Mail Addross CMy* � Slate2ip Phon�! <br /> � . �' � i-. I . <br /> �' . ' . ' ,I , .Ir , . . .. <br /> �1—A� <br /> Sta�a License Number Contracl Prico�ol Work <br /> Proposed Usc ol f3uildin� Conlacl Person (Plan Review) <br /> Description ol Work to�o Dono: ��i.J�:f �;n� -� �?([ ��r�� ,�,�-±a < . f i';� . <br /> i ' '_7_"'_"'7—. <br /> --� � '- . ;_ .-1i,��; Lf�JU �ar,"��'� ,..�Jc�- ,J, -' LL��(1�' �:r� �,�;,i: <br /> � <br /> � 1 <br /> r , I , I . �,` .1,,� .� �,i.. <br /> —___ 1 F <br /> NOiE WIRING IN NON-DWELLINGS IS REOUIRED TO FCE <br /> �E IN RACEWAYS, MC OR AC CA[3LE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I l;�reby ceriity N�nl/have read nnd era�rnined this epplicafion end know flie seme fo Go hue enA <br /> correcl. All provision.,ollaws end ordinanr.es govarruig this type o!work will bo comple(ed <br /> n hether specihr.A herein or nof The�ranting ol e perrnd does nof I�resume fo give authonty fo <br /> vrol��fc�o�cnncel fhe Iirovisiau ol mp�other sfefo or local law�agulaling conshuction nr fhe <br /> p�vformnncn ol constiuclion Thaf 1 mm�ufhonzed by fhe ownoi ol flus property to pe�fortn fhe <br /> i+���uA lor which epplicnfion is mnAe and 1 compry wifh fhe Sfafe Confractors Law fA 27 RCW enA <br /> 2PG 700 WA(,'. <br /> � <br /> '---tii'jnaiu'���7 � . — Ua�e <br /> �C�,I� IS`7 <br />