Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERi�ICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.evereUwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> ���� W. C..,pJINV �ODO �.���'.l i!.� �x.['.� <br /> PROJECTADDRESS <br /> "� 101 N1S � Fo`� i���T�t WF . `at±li� <br /> DC�GIr.�:: (i�Moor.iY (�.L�. iXvC � '1 <br /> Owner Mail Adtlress Clry SlalelZip Pfane <br /> Tenant Maii Adtlress Ciry Slale2lp Phone <br /> ii1S <br /> �Oy 1„�G.>>T�J[�. CLn.afK�_ L}1�.'7..� N'VJ {+`G'` J�. 13' � �F JSnlTll� �/`J�__ l�ll� �'>1"6l�'V <br /> Elecirical Conlraclor ldail Address Clry SIeldZip Phone <br /> � �i' <br /> FDYINECo\Cr.=H ��i �L�� <br /> State License Number , ConVact Pnce of Work <br /> Proposed Use of Bullding Contact Person (Ptan Review) <br /> �escription ol Work to Be Done� �� �� '� �� F ���� l���� "`Y'���"— C-�"+''"�� _ <br /> NOTE: WIRING IN NON-DWELLINGS IS REDUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> ,� � S-� <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS J105 <br /> ! jI hcroby corfdy fhaf 1 havo reaAand examined fhis apphcahon and know fhe same to be true and C-�� - �y <br /> correcf. All provisions o/laws end ordinances gnvemmg fhis type ol work will be complefed <br /> whethm spoci/iod horein or noL The granting ol a perm�f does notpresume fo give aufhonty fo <br /> violafe or cancel the provisions ol eny other stafe or local law regu/ating consWdion or fhe <br /> pedomianco o/consfiuchort That 1 am aufhonzed by fhe owner olfhis p�operty to peAorm the <br /> wo�k lor which app6cation is made end I comply�vi!h fhe State Contrecfors Lew 1B 27 RCW end <br /> 296 200 WAC. <br /> ^�.� /� �, ;���, <br /> .8tpnatu d �, et <br /> i <br /> / �� � <br />