Laserfiche WebLink
ELECTRICAL PERMI� 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 /> ,�t3(7 G.� (��y �-. L,.�e.�-{> u/ <br /> PROJECT ADDRESS � <br /> (vc.��7'<.' � C.��i«m . /}r k' �v( ' �-o�hr /lw L. Ir*-ic.'f� �Jf}- <br /> Owner Mail Atltlress City SlatelZip Phone <br /> jGiwT <br /> Tenant Mail Adtlress City State2ip Phone <br /> /� s � 3L- G <br /> I—�IIS-�� l��ltr-lv�c..h1� �`1(7 LUt'.✓ �'c-��_ cv �97�5(z �,v� �1�j°i�/� <br /> Electdcal Contraclor Mail Address Ciry y State2lp �- �G� Phone <br /> �1- �1��7� y o�� � (lz T�''� <br /> State License Number Conlracl Price of Work <br /> ��C�m � <br /> Proposed Use o1 Building Contacl Person (Plan Review) <br /> Descriptlon of Work to Bo Done: � �'��/J�"� `-` T C.Ge'����� o' - � 5/���-'S � <br /> �<< $ <br /> IJOTE: 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 /> 1 hereby ceRily fhaf I h2ve read and examined this appiicafion and know fhe same fo be true and <br /> con�ecf. Al/provisions ollaws and ordinances goveming this 1/pe o/work will be completed <br /> whether speci6ed herein or noL The gianling of a permd does nol resume to give authority to <br /> violafe or cancel the provisions olany ofher sfate orlor.allaw reguPGng consfruchon oi fhe <br /> perfomiance o(conslruction. Tliaf 1 am au(honzed by Ihe owner o/fbis prope,dy to peAomi the <br /> �vork �o�which applicafion is made and I comply wifh Ihe Stafe Contracfors Law iB.27 RCW and <br /> 296.200 WAC. <br /> _ - _ � �j <br /> � <br /> i Wr Date ������ � <br /> l�. <br />