Laserfiche WebLink
i <br /> �j ELE�TRICAL PERMIT APPLICATION <br /> � CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 1 `- 8`� 'J <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org � �3p 1 -D 3� <br /> APPLICATICINS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> � ' '�/�'� ll 1 i� "� l+. <br /> � <br /> PROJECT ADDRESS <br /> NL°; <br /> �� I /' ' I• 1 ! ' I ! ".� '! �l � A i 11 4 U� �� �- /�JiJW �G Wn l°'Lf.�'� {`�r' lIl�S <br /> Owner <br /> Meil Address C�ty Slate�Zip Phone <br /> 7enant Maii nddress City Stale�Lp Pnone <br /> , i a�li ir� l �[ tl ( �r � � c , .� ,� ,�; . ; .,,ro.�� /.J�}� �lg'L�1 '_ �CSi:O �..��v <br /> Electrical ConVaclor <br /> Mail Address Ciry Stete�Lp Phone <br /> ,� ._ - ��i ��. � <br /> ��, � CX��» <br /> State License Number Contract Price of Work <br /> �"��'111��r r;ll( Cicl� �, (- <br /> Proposed Use ol Buildmg Contact Person (Plan Review) <br /> . Squere Foolage(II residenlial new construc�ion, remodel or addition) <br /> i Description of Work to Be Done: " �a v '__ �� " �� � 1 c��� <br /> NOTE WIRING IN NON-DWELIINGS IS REQUIRED TO FEE G�� <br /> B[ IN RACEWAYS, MC OR nC CAOL[ . �C� <br /> CITY OF EVEREI? LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby certily fhnt I hnve read.ind eMr+mined fhis aipphca6on nnd hnow the sarne to Ge tnie and � � �� ( _i�l�� <br /> co�recf All pruvisiuns ollrnvs mrd ordinanees govanmg this type ol�vork will br, conrplefed � V <br /> �rhetbr.r specrlied hmern or nof. The granlin�of.•i pernn!docs not presume lo give authonty fo ' <br /> iviolafc or cancel fhc`nuvisions ol nny ofhcr stafr, or locel law icgulahny constn�ction or thc <br /> prilonnance ol construcfion. Thaf 1 nm authonzed by Ihe owner ol lhis property to peAomi the <br /> n�orti lor which npP�ication is madc nnd I comply�vi(h fhc Stnfe Confrac/ors Lnw 18.27 RCW nnd <br /> ��,' 296200 WAC. � <br /> -- , <br /> i <br /> '� '� c �t� � -- <br /> �- Signature Date <br /> I <br />