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—wuvw.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM 7�.��� <br /> I i �� E��-i 5 <br /> -� A�� �-�� A f.� <br /> PROJECT ADDRESS <br /> V�1 l� l� 1 � S•' � <br /> Owner Mail Address City State/Zip Phone <br /> Tenant Mail Address Cily State/Zip Plroire <br /> �RsS,u e�c.�e-tc�+� C� Po r�,c S4�o a,�cert 9Bx� �txxs"s�5-- <br /> ElecVical ConUactor Mail Address City State2ip Phone <br /> ��flSS� �� �ES � Z,Z�'�p � <br /> � State License Number Contract Price o Work - <br /> o�-t�s J�A2(� SPRC� <br /> Proposed Use of Building Conlact Person (Plan Review) <br /> Description of Work to Be Done: �w �� �TN1� ��ry � � � 4 �1� <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUI'r2ED TO FEE <br /> BE IN R4CEWAYS, MC OR AC CABLE. � D Q s� <br /> U <br /> CITY OF EVERETT LOCAI.SALES TAX COOE IS 3105 <br /> I hereby certily that 1 have read and examined fhis application and know the seme to be true and ��Z��� I C g <br /> correct. AU provisions o(laws and ordinances goveming this type o/work will be completed J <br /> whether specified herein or not The granting o/a perm�f daes nof presume to give aethally fo I <br /> violate or cancel the provisions of any other state or local law regulafing eonshudion or the I <br /> pedormance of construction. That 1 am auihorized by the owne�ol this property to peAoim the i <br /> 296 200 WA h 'cation s made and I compty witb the Stafe ConttaC�rs Law 18.27 RCW end il <br /> 7 � / I <br /> Signature te � <br />