Laserfiche WebLink
� � <br /> ELECTRICAL 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.orc� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> �,���°��'� � � �'� ; � � � � 1 �,� ���� -i � <br /> 1 �: l 1 . % � I�` , 1 � 1 , � t_ <br /> PROJECT ADDRESS <br /> � � �'� � � i � .;� ',���`, : �i � 1 �'���, � �, 'k,', � %1,) i�Y�J_�'-t-- � <br /> Own¢f � MailAOtlress Ciry S�alelZip Phonc <br /> �{��� � �,y\ � t'� "� 1 <br /> TenOn�� MailAddress Ciry Stale2ip Phone _ <br /> a2F�'46�_ <br /> � � � ,� , � , �T: ,7 <<����! r�v��1��4� �1��,'j��1,���1�li, , �t�+�i�7" _ - �r;�11 <br /> �1:�� ���� �' <br /> Elecincdl Contractor Mail Adtliess Cdy Stale/Lp Phone <br /> ♦ ,. � � �� ',��1 � � �� r�i � ���� <br /> ������(�) � � � �, � '���� � ��� � 1- �1�� �(� ._ <br /> State Lice sn e Number ' j Contract Pnce of Work <br /> / i ' I � 1 <br /> I \� \ \ � 1' / I� 1 V �� � 1 � <br /> ����,��i�l � � �� Contact erson (Plan Rev�ewl <br /> Proposed Use of Bwlding <br /> ' rp r�� �� <br /> , � " <br /> Descnpuon of Work to Be Done ��„��",�� � � V �, ���l 1.�� �•. �,.�\�' �t .V 1�)�� � ��Z � ._ 1.V�./���..� � _ <br /> ������� �� �.�_ - <br /> NOTE WIRING IN NON�DWELLINGS IS RE�UIRED TO FEE ,.,,� <br /> BE IN RACEWAYS MC OR AC CABLE �l;'1 I�� <br /> � <br /> CI?Y OF EVERETT LOCAL SALES TA%CODE IS J105 <br /> � i iir,iohy cortAy�huf I Imvo rood and marmneA fhrs apphcahon and Anow Ure samo fo Go f�ue and <br /> rnnuct All p�ov�s�ons ollo�ts.�nd adurances govemmq th�s lypo o!�vork wdl be comploled <br /> r:hethoi spocJ�ed Ir.�an or nof lho grarrtmy ol,�pennR does nof piosumo fo grvo aufhonty to <br /> wnLile n� c.mcel the pioweipns ol nny olhe�stafe ar Incal law rogulaf�ng consVuclion or fhe <br /> pe�lcimoncr,oi ronsfrucl�on Thaf 1 nm aufhonzod by fho ownor ol ih�s proporty fo podorrn fhe <br /> �vo�k lnr �vhich appliG?l��is made anA 1 romply�vRh fhe Stalo Conf�acfors Law tA 27 RCW and <br /> :96 200 WAC <br /> � . / <br /> r �I ,1 <br /> ��� �''i . � �� � � � � � � � �� '� � �; i� i. /�. <br /> -- S�gna1J` � � qate � <br /> r , <br /> � f C 3 U�1 - I I �' <br />