Laserfiche WebLink
ELCCTRICAL PERMIT' APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES g `�� b� <br /> 3200 CEDAR STR[ET, E\�ERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 -www.everettwa.org (,�-�'70 `$-D23 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> e' ' i � <br /> r f� C�/� �� ,�.�c�rc,._-'. -3' <br /> PROJECT ADDRESS � <br /> �L'�cl,tv�i� �� ��ia,G„�cc� 1'Oi� ,f��'l /=,�C��T"C Cr/A ���f�� � �177-7 /'� � <br /> Owner Mall Address City Slate/Zip Phone <br /> Tenant Mail Address City Stale/Zip Phone <br /> ���o{.SS/o,x- I /�—'�1�. �✓.0 <br /> Eleclrical Conlracwr Mail Address City State/Zip Phone <br /> -7C�n ," <br /> State License Number Conlracl Price of Work <br /> Proposed Use of Building Contact Person (Plan Review) <br /> DescriptionoiWorkloBeDone: i �� i � �l 1���,- - '� '�� C,cy?i E: � i r: ._ � %� <br /> <.: ;�.� 3 ��� f� �,�;�� <br /> P.OTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE I <br /> 8E IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby certily fhat I fiave read and examined ihis applicafion and know the same to be frue and <br /> correct All provisions ollaws and ordinances e�nvernina fhis fype ol work ttdll be compleled <br /> whefher spealied hcrein or noG TRe c�ranting o(a pennd does not presume to give authority fo <br /> wclate or cancel the provisions o/any other state or local la�v regulating construc6on or the <br /> peiformance olconsfrucLon. Thaf 1 am aufhonzed 6y fhe owner o/fhis property to peAorm ihe <br /> �vork lor�shich application is made and 1 compty�vith the Sfate Contracfors Law 18.27 RCW and <br /> 29G.200 WAC. <br /> � J v <br /> t� /�',CG'S�' �l`�'"'-2,-.±r" �y�L" 0 ��7 /� > <br /> / <br /> Signature Date '�C� J r. J <br />