Laserfiche WebLink
_ . _ _ _ _ _ _ _ __ i <br /> I <br /> � i <br /> � ELECTRICAL PERMIT APPLICATION j <br /> I ClTY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETr, WA 98201 It _5�� � <br /> 425-257-8810 - FAX 425-257-8857 —ww�r�.everettwa.org <br /> I APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM � ' ���'O� <br /> i I <br /> i : � /c0 �D�,�,u� � 1/� <br /> PROJECT ADDRESS <br /> ' � r� � �,� � u % Z 1�I/0 ���s'�l� �v'�i'� G/�- `� 1��90 �' <br /> Owner Mail Address City Stale/Zip Phone I ., <br /> ' Tenant Maii Atldress C:ty State/Zip Phone <br /> � ����e��.c��c ��c l4/�i6 /��/A� ��� 1�,� �__ ��'3y <br /> ', EleCtncal Con�raCtor Mail Address City Stateilip Phone <br /> !� �r�4 I �L 90 � .�J 9 � � <br /> . Sta�e license Number Contrae�Price of Work ' <br /> � <br /> � --- <br /> Proposed Use of Bwlding Contact Person (Plan Review) <br /> �J � <br /> Square Foetaye (If resi ntial new corsiruction, remodel or addition) . <br /> � ^ \ � <br /> Description of Work to Be Done�. ` l �� � ✓� � ���'i� � <br /> .. ..—�-----.. . _ . _._---------- --- <br /> .. . .-----—� <br /> `�'�ra ��-_- -�- -�—�'''`�- - - -- -- <br /> i — ---- — - ------- <br /> I� NOTF WIRING IN NON-UWELLINGS IS RCUUIRE� TO FEE �D f)D � <br /> 9F IN RACEWAYS, MC OR AC CABLF <br /> ,� CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 -- - �� ------- - -- <br /> , I hemby r,c�tily lhul 1 have reaA and examrnc d thrs:+pphr,aGnn and know fbc samc tn be fnio and � � Z, � � —��( <br /> I correr( All N�ovisro�u'o/laws nnd ordrntincr,s qovenunq Ihr,:lypn o/work vnll ba cornpbted <br /> i, whr,prr,r specGr,d herern or not. /hr, yrnnting ol a pr.rmrt does r�ol �iesumo to give Hidhonty to � <br /> ' viul;de or cenr.el the prrrvlsfuns o/' ry ulher stala or lor.al law ie�u�alint/r.onslrz�chon or Ihc � � <br /> per/onnance ol consWc6un. - am:�ulhonzed by the ownur o/(h�s property(o p�vlum�lhr. <br /> vinik lo�which npplicafior , c arnl I cnml�ly u^th Ihe Sfelc Con/m.olna l.aw 78 "l7 RCW and � <br /> 795 20l� WAC <br /> ' � _ __ �l �-� ��/� <br /> � a � f>alc <br /> i <br /> i i <br />