Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> I 425-257-8810 - FAX 425-257-8857 - www.evereltwa.org <br /> iAPPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> e <br /> , . � ' I_.. .J � <br /> PROJECT ADDRESS <br /> i4tr�� D ::i: ,"iJ II`-� I:�j�='r,': 1 �h Cv'�r�c'il v�;,a ����� 3 Y15-y�gliC-. / <br /> I Ownef Mail AtlOress City State/Zip Phone <br /> Tenant Mad Address Ciry State�7!p Phone <br /> I FIBCtfiC81 COn(fBCIOf Mail Addre55 City Stale'Zip Phone <br /> I <br /> � <br /> i <br /> iState License Number Conhact Price of Work <br /> � l <br /> �I �'��.-;� '���J���.�- � �, �ti"^- l}r,�, �J — <br /> �I Proposed Use of��Building � � �T Cuntact Person (Plan Review) <br /> � Description of Work to Be Done: —�-N S i n� � r�I,CC i � ��ar��� �+ .a I I �., ,�c��; S�- ��N�°V L�,i✓��i� <br /> � � <br /> � <br /> I NOTE: WIRING !N NON-DWELLINGS IS RE�UIRED TO FEE <br /> i BE IN RACEWAYS, MC OR AC CABLE <br /> I CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> '. I hereby cerhly thaf 1 have read and ex:imined fhis appdcaGon and know the same to be true and <br /> � �.rvrect. All provisions o!laws and ordinances governmg this type o/work will be completed <br /> ;�he(he�speci6ed herein o!noL The gran6ng ol a pernnt does nof resume�o give authority ro <br /> . �;�olate or;ancel the provisions of any other state or bcal law reguPtin�conshuchon or tNe <br /> � nerlormance ol conshuction. rhaf 1 am authorized by the owner o/this property fe peAorm the <br /> ; work/or which applicatior is made and I compty with fhe Stafe Contradors Law 18.27 RCW and <br /> 'I 296200 WAC. <br /> � � �- ✓I � . <br /> , ��,>, �- .�C "O 7 <br /> � �� 5i�inature Date <br /> J <br />