Laserfiche WebLink
ELECTRICAL PERMIT APPLI�ATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREEI', EVERETT, WA °3201 <br />425-257-8810 - FAX 425-257-8857 — vnvvd.everetteva.org � a��g—� �- <br />APPLICATIONS ARE ACCEPTED FROIY 8 AM TO 4 PM � � Z�z —� �° <br />;_ ( �( � I?�c '_�I("[ �I � C.�����?, <br />PRO�CT ADDRESS <br />r�' L•C <br />•(. ' <br />� 1 � I� ii � 1� �� � i .�i� i;,� �- .5 %� �`vllr- �I�/ /Zf / / ��l% � �� �_ <br />Owner MailAddrese City State2lp Phone <br />( �� J�63 77`l S <br />Tenant <br />Electn:.al Con�raclor <br />Slate License Number <br />Proposed Use o( Builtling <br />Mai1 Address <br />Mail Addreas <br />Square Footago (If residential nevi conslruction, remodel or addition) <br />�1� <br />CAy <br />State2�p <br />SlalelZip <br />Coniract Price of Work <br />Contact Person (Plan RevievQ <br />DescriptionofWorktoOeDone: f'���i}Ci: �X��Si7L'� �LL� �I����" ��/:vrC� <br />1��lNc-L �'� i �i N�'�� L ILti ',u� 1�'� �� <br />�;+. ,�- y",� wc �� i=�n��,- < <br />Phone <br />Phone <br />NOTE: WIRING IN NON-�WELLINGS IS R[QUIRED TO FEE <br />' E3[ IN Rl�CcbVAYS, ti1C OR AC CA�L[ . ��� U U <br />CITY OF EVERETT LOCAL SALES TAX CODE IS J105 — <br />I hcrcby certdy (hnf I have road �ind cxaminud fhis .ipplfm�fion and kno�v (he sanm fo bo huo ond <br />�.�oner.L All provisrons u/laris and o�dinances 9uvsmmg Ihis lypo o( �:o�k �•:dl be comp/oted � �� ��- � G(� <br />�,:hethr.r spr.cilied harein or noL Thv yranlin9 0l a penn�( does notp �esurno to givo aidhority fo <br />;;olal��orcrincellhe provisionsolmryafherstafeorincal/aivregula(inyconsfrucfionorfhe <br />pedr,nnnncc ol conslrucfion. Ihat 1 am aufhonzeU by fho o�vnerol fhisp ropeity to pedonn N�a <br />v;,nh I� v.�hich application is niado and 1 comply wi�h fhe Sfafr. Confracfors Law 18 27 RCW and <br />7lfi �00 bl�AC, <br />L- <br />. .. . „alnatura <br />