Laserfiche WebLink
ELECTRICAL PERMIT APPLlCATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425•257-8810 - FAX425-257-8857—www.everetlwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM -DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br /> I 2 I 5 E �ASI N� <br /> PROJECT ADDRES3 <br /> NRAc.K (�-o`� � <br /> OwnB! Mall Addreae Clty 34teZp Phons <br /> Tenent Mall Atldreae City Slate/Zip phone <br /> SUMt�11T El-�CT(ZiL /NG 6203 26rs-r s�- Nw SrHNw�o w�l �ssz9 2 <br /> EIecUICeI Contractor Mell Addreee Cly gtete2ip ppqy <br /> 4253os5�5� <br /> SurnmiEi trw K�- y000 <br /> State Licenae Number ConVact Price of Work <br /> S.f,R. <br /> Propoaed Uee of Bullding Contect Peraon (Plan Review) <br /> Deacdptlon of Work to Be Done: Z.d(� /�M� �uc:.l`�'�[/�(� ��UI� <br /> 1.�11�E NE'W 5• F�,R, <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN R,4CEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby certily fhat I have read and examined thls appllcatlon and know fhe same to be tiue and <br /> correcf. All provislons ollews and ord/nances goveming fhis fype o/work will be completed <br /> whether speci(ed herein or noL The grenting ol e parmrt does nofp resume fo pive authodry fo <br /> vlolate or cancal the provisions ol eny other stafe or local lew reguleting canstructlon or the <br /> peAormance o/construchon. 7hat 1 am authonzed by the owner o/fhis properfy fo pedorm fhe <br /> work lor which applicaUon is mede and I campty with the Sfefe ConVactors Law 19.27 RC W and <br /> 296.200 WAC. <br /> '"� >�— �T ��.. 240�'� <br /> Signawre Oero <br /> L�/�-039 <br />