Laserfiche WebLink
( � <br /> 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 /> Z �ly ,(�� l<P�' �}ve - <br /> PROJECT ADDRESS <br /> �sfG�P✓' �fq 2 >�y 1�1�P✓� �veue� r,v� yZS"3o3,f�S <br /> Ownef Mall Address Clly State/Zip Phone <br /> Tenanl Mail Addresa City State2ip Phone <br /> ���JQ��i"�c ,�/�,5 7 �/Y7''�'��e�t/� �2S �sy637� <br /> Eleclrical Co� ractor Mall Address�),G � ✓P�'City Slate2lp Phone <br /> �� �e w� q�zS� <br /> uu <br /> /�(J.A-l_ t'�P�� y � - <br /> ' Stele Llcense Number �, � onlract Pdce of Work <br /> R�Sr��e��e � _ ' ��.��,1�11�✓' <br /> Proposed Use of Bullding Contact Person (Plan Revlew) <br /> Descripllon of Work lo De Done: ���V�� e 7" �Ci{�� l /�(�✓�� _ <br /> NOTE: WIRING IN NON-DW[LLINGS IS REGIUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby certily fhaf I have read end e:ramined thls epplicatlon end know fhe same fo be true and <br /> corrocf. A!I provlslans o/laws and ordinances goveming fhls rype o/work wfll be completed <br /> whefher specifiod herein or noL The F7renfing ol a pemut does nofp resume to plve aufhodty to <br /> vlolete or cancol the provfsfons ol eny ofher sfate or Ixal law ragule0ng conshucflon or fhe <br /> perfomtance o/conslrucfion. Thaf 1 em eufhorized by the owner olfhls property fo peAorm fhe <br /> work lor whlch a�plicaUan fs made and I comply wifh tho Stafe Confreclors Law f8.27 RC W and � I/ <br /> 296.200 WAC. <br /> / <br /> .��� �,�,�>�,�� �� 2 , %/ /�°� � <br /> Slgnature D e <br />