Laserfiche WebLink
�LECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM - DEBIT& CREDIT CARDS ARE NOT ACCEPTED <br /> (�� IS (�e. -� re �� r ,_ t�.d ,�� - {'/% <br /> PROJECT ADDRESS <br /> �,l`� �(Yv�os�-�y� �3U�/ll� �A�'" �xl�u�e. Wl�' �'�ao5_ <br /> Owner Mall Address City State2ip Phone <br /> Tonanl Mail Address City Stale2ip Phone <br /> ��v �-�- c�g roa "��d�( W� 9gol q ���b`6�110 <br /> ElBchiCal Conl�2ctor Mail dddress Cily Slate/Zip Phone <br /> '<z�l.l� � /ZI O � � S _ <br /> Stale License Number Conlracl Price of Work <br /> Proposed Us�ild� Contact Person (Plan Review) <br /> Descri{�lion of Work lo Be Done: ���/1 Y�-F1�� V CT(/�Q,� � �0 � v � � <br /> �._�=�_�_ l np_ "1s.�g � �� `��0 V3- � (11�. 'Z.e5�6 ✓ <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> F3E IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> /he�chy certd��fF,at I have reaAand examined fhis applicr+tion and know the same to be frue and <br /> conect. All p�ovisions ol laws and ordinences�oveming fhis type ol work will be completed <br /> whether spea6ed I eiein or noL The gienting o!a perrnd does rrot presume fo give aulhority fo <br /> viol�te or cancel f provisions ol any ofher stafe or local law regulating construcfion or the <br /> pr.Aorm n e ol c ish ction. That I am aufho�ized by the owner o!fhis property fo perlorm the <br /> work l iich a i6c on is made an comply with fhe Sfnfe Confractors Law ifl27 RCW and <br /> 29fi 'A <br /> D <br /> 5iynawre Cate <br /> � �] �I'(,'Y+ Z— <br />