Laserfiche WebLink
_ _� <br /> ELECTRICAL PERMIT �4PPLICATION <br /> CITY OF EVERETT PFRMIIT SERVICES <br /> 3200 CEDAR STR�ET, EVERET", 'fdA 98201 <br /> 425-2�7-8810 - FAX 425-257-8857 —�w,vd.everettwa.org <br /> APPL.ICATIONS ARE ACC�PTED FROM 8 AM TU 4 PM <br /> -- --1 <br /> I <br /> i�'iU ��'/��=�i�i✓! �' �lC'�f' � <br /> � <br /> i <br /> PROJECT ADDRESS <br /> t-� L��lZCTI ��ATCi✓/" � �>..f ' L,� C: <br /> Owner Mail lddress Ciry State2lp Phonc <br /> `:�/�,a,������ (� <br /> Tenant Meil Address City SlatelZip Phone <br /> (;rZ�a /�/!t// �'�<c �/i�, ��.�3 ��SI (},/�' S' .��.�� l.J�. /"8ic79 �ZD�,.�y39/ <br /> Eledrical Conhactor hlail Address City Slale/Zip Phone <br /> �_�''��f�.:��iJf-- �� ( <f �(r ��.�?.��U <br /> Slate License Number ' s Conlract Price o!Work <br /> , <br /> � <br /> h��'�r/ JT(=(� PSc <br /> Proposed Use of Duilding Contacl Person (Pl�m Reviea�) <br /> Description o(Work l0 8e Done: � , � �� �/�— y�Sr`�/<�-�� r <br /> � <br /> NOTE: WIRING IN NON•DWELLINGS IS REQUIF;ED TO FEF <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby certily thaf 1 have read and exarnined fhis applicafion and kno�v the same to be true and �_-� �V� � � 5 � <br /> conect All provisions o//aws and ordinances governmg this fype ol wvrk�ti�ill ue complefed <br /> whether specilied herein or noL The gianfing o/a pem�d does nol presume fo give au(hwity to <br /> violale or cancel fhe provisions olany ofher sfa(e e�local law regulafing consfn�cfion or the <br /> pedormance o/construction. That 1 am aufhorizeri by the owner o/tlus property to perfonn fhe <br /> rvork lor which application is rnade and!comp!y avfh the Stete Contracfors Law 1827 RCW and <br /> 296.200 WAC. <br /> / <br /> % 'v%C � <br /> G/ �-= . <br /> . �' SignaTure -.--_"y Date <br /> I <br />