Laserfiche WebLink
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 /> 6//1/7-if 16 /. 3 5/PROJECT ADDRESS <br /> /S 7--/A /J /11,1C-ie 0 6,)t, t,JA- 0 yi <br /> Owner Mail Address City State/Zip Phone <br /> /� <br /> £ W/7 S VA'''C"4-v r <br /> Tenant Mail Address City 44-fizz State/Zip Phone <br /> / / �LLsc i2 c13 , /�/. a-7�1 lr✓/; 1/ 5- 20,63.67 7 66 <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> • <br /> /710 GG <br /> State <br /> fLicense Number Co act Price of Work <br /> A/ i/ (7.177-/:--?1 <br /> Proposed Use of Building / Contact Personan Review) <br /> Square Footage(If residential new construction, remodel or addition)n <br /> Description of Work to Be Done: )tel/✓//L L� �--//cC u/T S e,(CS -771 <br /> ‘e, /a G,11=2 Jé v �s ��-�✓�L s <br /> 1)G5- <br /> NOTE: WRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. SO <br /> 23 0 <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 btrue and (2 O ITT <br /> correct. All provisions of laws and ordinances governing this type of work will be completed 7 <br /> whether specified herein or not. The granting of a permit does not resume to give authority to <br /> violate or cancel the provisions of an other state or local law regulating construction or the <br /> penforman construction. Tha m authorized by the owner of thisproperly to perform the <br /> work for is application is ma and I comply with the State Contractors Law 18.27 RCW and <br /> 296.20 W . <br /> z. Signature Date <br />