Laserfiche WebLink
�LECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810 - FAX425-257-8857—www.everettwa.org �f �-S�� <br /> APPUCATiONS ARE ACCEPTED FROM 8 AM TO 4 PM � �'(`-,C'� -��� t � <br /> ��`li' "l I ' � i'�tr1 �.�rt�l � ��ei \lte <br /> PROJECT ADDRESS <br /> PK i�r���i -I,c � ��i t,� .l-�n« � �i t, �� , 11i�►-x „� ��;i� yFtc�l <br /> Ow�er Mail AdEress City Slate2ip Phone <br /> �-l'YCrS �Cl� � (�ll.� �1L�2 1111�1('11l'nLl Ab'C , r�'�� 1C'It� �llt� <br /> Tenent � MailAddreas Clry State2ip Phone <br /> A�»c� icn,� Nef��l 1�1� '�1c2 '�y-1�� A� e C1� Sw` , �c�kit�rr�t ��'A 9''s3s39 <br /> Electncal Contraqor Mail AOdress ary 5tate2p ��.i�t°�a_� q lr <br /> AMC !?in��(�C�'z � l � � lF� � <br /> Stete License Number ContreIX Price oF Work <br /> I�c-inl L LI �Sa _IAccb� <br /> Proposed Use of Building Contad Person (Plan Rev w) <br /> Descnption of Work to Be Done: '� �aC�. t,Q.�,l S�111 r� 41 I l 1 W 1� 41 1'1 A� Vl <br /> NOTE: WIRING IN NON•DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITV OF EVERETT LOCAL SALES TAX CODE IS 3106 <br /> 1 hereby certily fhat I have read and examined lhis applicafion and know fhe same lo be true and <br /> correct. All provisions o(laws and ordinances govemrng this fype o/woric will be awnpleled <br /> whether specified harein or noG The grenfing o7 a permR dces not p/esume to give authonty fo <br /> violato or cancel tho provisions olany ofher sfato or local law rogu/atirrg cronsfrucfion or the <br /> performance o/conslnictron. Thal I an>aufhonzed by the ownero(fhis property to pedorm the <br /> work lor which applicafiai is made and I compfy wdh the Stafe Con(rartors Law 18.27 RCW and <br /> 296200 WAC. <br /> � <br /> _��1�v� " �� l. 9 � . <br /> Sgna re Da e <br />