Laserfiche WebLink
a <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 �'J --lcl `-� 8 <br /> 425-257-8810 - FAX 425-257-8857 -www.everettwa.org C O ���`Ja/ <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> � 0�2C� l � � 1+ f��l� ���= <br /> PROJECT ADDRESS <br /> �A s�a� �mmv� ���;- �N�. �'ig�co 2.�-52� <br /> Owncr h4ail Address City StatclZip Phone <br /> TenaM Mail Address City S�ate/Zip Phone <br /> ��flSS� a ��;�L �.o .�X S'`l0 ��1-5' �'�2� 33�2�.�/ <br /> Electrical Coniraclor tdail Address Cily Stale/Zip Phone <br /> `�i21�SS ��- l ���L� ��G'�' <br /> Slate License Number Contracl Price of Work <br /> 'f���i � -- <br /> Proposed Use o(Buildinc� CoMact Person (Plan Review) <br /> Description o(Work to Bc Don�: /"i�� 3 '— �}-��] �� ��tS� S I �`�- <br /> C�F (-?�.';1 �(� �N� <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby cerfily that 1 have read and examineo Ihis applicalion and knou�Ihe same fo be true and <br /> conecL All provisions o/la�vs and ordinanr,es�ovemm�fhis lype ol work will be cornpleted <br /> whether speaGed herein or noL The�ranting ol a pennd does nof presi�me fo�ive aufhonty to <br /> violafe or cancel the p�ovisions of any ofher state or local/a�v reguiafing cons6uction or fhe <br /> pedormance of construction. That 1 am authorized by(he owner o/fhis properfy to peilorm the <br /> work Ior which applicalion is made and I comply wifh the State Cont�<3ctors Law 7827 RCW and <br /> 296.200 WAC. <br /> _C� �:, -�/��-/� <br /> Sic�natm � - f�ate n�„ � 1 i <br /> � <br /> � ��� -/ =-/ <br />