Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />320D 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 - DEBIT 6 CREDIT CARDS ARE NOT ACCEPTED <br />CJ��CJ ��J'iC�vJe1�� <br />PROJECT ADDRESS <br />Owner J <br />TenaM <br />�!� T tCSK� <br />Electrical Contracror <br />��AiuS� ro <br />State License Number <br />��'���<'n�l�l� �}' <br />Mail Atltlress <br />Mail Addrecs <br />�NC, <br />Mail Adtlress <br />2 /3 0 <br />r�, � r � S�1op <br />Description of Work to Be Dorre: <br />_ � -,e_ <br />� <br />NOTE. WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />crty <br />CXy <br />Wf� q82U3 (` <br />Stata2ip <br />Sta�e2ip <br />o �✓/� 9�3� � <br />State2ip <br />Contrad Pnca of Work <br />Contad Person (Plan Review) <br />CITY OF EVERETT LOCAL SALE3 TAX CODE IS J105 <br />I hereby certiy thet I have read end exemined lhrs epplicefion end knaw fhe seme to 6e We end <br />conect. All provisions o/ lews end ordmances goveming tbis type ol work will be comple(ed <br />whelher spealred herein or nol. Tbe gren6ng ol e permd does nof prewnre lo yive eulfronty fo <br />violete or cencel fhe provisions ol eny other slafe oi /ocel lew reguleting construdion or the <br />peAormence o/ constniction. Thet I em euthonzed 6y fhe owner o/this property fo peiform the <br />work lor which applicetion is mede end I comply wdh fhe Stete Confrecfors Lew 18.27 RCW end <br />296200 WAQ . <br />�.� r . <br />i <br />/:'. �/1 Z �� , i.. ///_f ii) � /'J—�77_ . � �. <br />FEE <br />Phone <br />Phone <br />��-� <br />r_, <br />P�one <br />ro �/2 '/9� <br />