Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 's200 CEDti�� STREET, EVEFETT, WA 98201 <br /> 425-257-E810 - FAX 425-257-8857 —www.everettwa.crg <br /> APPLICATIONS ARE ACCEPTEU FROM 8 AM TO 4 PM <br /> PROJECT ADDRESS <br /> �'- -< < ��,.wu.,��, c� E � gi� (�16u ��e �de���f W�4 q���� <br /> Owner Mail Address City StalelZip Phon? <br /> Tenanl A1ail Address City State2lp Phone <br /> �e6o1Cl I�c 2i( t S d6'" JI- SP�-F��e (.�H 481Le <?a���/ .�oo <br /> Eleclrical Conlraclor Mail Address City StatelLp Phone <br /> 7��bo' � ►�9 'C 5 �1a�o <br /> Slate License Number Contract Pnce of Work <br /> '�a „� �. ��1--�1.�,��e.. <br /> Proposed Usc of Building Conlact Person (Plan Review) <br /> Description of Work to Bo Done: 1;� oO�Da�pf� 2 La�.7 Ve 1�1a u� <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF E`lERETT LOCAL SALES TiU(CODE IS 3105 <br /> 1 hereby certily fhaf I bave read and examined fhis application and kno�v fhe same fo be true and <br /> correcf. All provisions ollaws and ordinances goveming this type olwoik will be completed <br /> whether speciGed herein or not The pranfing o�a pernut does not resume to give aufhonty to <br /> violate or cancel the provisions ol any other state or local law reguPting consfrucfion or fhe <br /> peiformance ol conslruc6on. That 1 am aufhonzed by fhe owner o(tlus property fo peAomi the <br /> �vork Ior which application is made and 1 compty with the Sfafe Confractors Law f8.27 RCW and <br /> 296.200 WAC. <br /> 02/ia/o(p <br /> Signalur Dale <br /> EV L:L�-�i(JV <br />