Laserfiche WebLink
—� - � / L' <br />PRO.IECT ADDRESS <br />ELECTRICAL PERMIT APPLiCATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 �.�'j —1 � <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org _ <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM � I l O`"f _ 13 � <br />; ,.-�c /�L�' /�'��U`��J Ll.'L� <br />Mail Addrass Clly ' <br />� I IC� �:,/�-7( I<� /i C�/iti /�l o�d <br />Tenanl Mail Address <br />�`I i <br />�� ; r- ; ��c•G� �' ` / S' > z > <�a <br />Eleclrical Contraclor Mau Address <br />� �C'�C �i��< <i�� <br />Stale Liconse'Number <br />Proposed Uso ol 0uilding <br />lescription of Work lo Oe Donc: <br />JOTL": WIRING IN NON-DWFLLINGS IS REQUIRED TO <br />f3E IN RACEWAYS, MC OR AC CADLE. <br />:ITY OF EVERETT LOCAL SAt.ES TAX CODE IS 3105 <br />er� �j� 1D / <br />Slate/Zlp Phone <br />y.� C 7'? C_" o�j / <br />,! , � ,. _ r , .� / <br />z y�, -� � ��-«� �� � o��: � <br />5'�. <br />Slate/Zip �1 S� 1 ��Phone�`� <br />/_ ��� <br />> Cn <br />Conl�acl Pdce of 'Nork <br />' � � ( 1 �l � <br />Contact Person (P an Revlew) <br />1 hcroby certity �haf 1 hm�e iood mid exnmined Ihis applic^tion and kno�v fho semo fo bo frue end <br />cortecf. All prrrvisions ol laws nnd ortfinnnces ,qovemuiq this fype ol work will be cornplefed <br />�vlmfhor spccnied haein or not The c�ranfing u! n pnmuf does nof uosumo fo pive aufhonty fo <br />vlolofe or cnncel Ihe t�rovisions of nny othor sfnfo cr locol law regulnfing consWcfion or fho <br />pedonnnnce o! censiniclion. ThtYf 1 am eidho�ized by f!�o owner ol fhis �roperty fo perfonn fhe <br />�snrk lar which epplicefion la mndB nnd 1 compty wifh tho Sfate Confrncfors Lew 1Q.27 RC W and <br />29G 200 WAC. <br />i � , �•- <br />_ ; l _ -� � , -- __ � <br />FEE <br />E���- I� <br />