Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEQAR STREET, EVERETT, WA 98201 <br /> 425-257-BB10 - FAX 425-257-8857—www.everettwa.org <br /> APPL�CATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT 3 CREDR CARDS ARE NOT ACCEPTED <br /> l y Z z G f-h=S - N v i <br /> PRWECT ADDRESS <br /> �,�1�J �� � O � E � ��X .2v6 132��vv�.✓ l✓A. �F�z..� <br /> Ownar Mall Addrese Clry latelZip Phona <br /> fenent Mall Addreaa Clty S' ��^ - � Phone <br /> Y2�=t st-�s fdr <br /> �J J�J� r'J M �=u-� �v��L I G N.3.� G I ll �4�/��•J G�-l�-�Nlr�.d� Lr9 . <br /> ElecWcal Contractor Mail Adoreas CIy Stete2lp Phona <br /> �vJ� ,) i-f�� 1, � �` <br /> State Licenae Number CAnVact Price of Work <br /> � � � <br /> Proposed Use ol Building Contect Pereon (Plan Review) <br /> Descrlptian of Work to Be Done: 1� � i��u� l.�� 1� N � � �✓5 <br /> /�'� F„1�( /)/�'S� . . <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLL <br /> CITY OF EVERETT LOCAL SALES 7AX CODE IS 3105 <br /> I hereby ceRily fhat I have reed and examined fhls appllcetlon and know Ihe seme to be frue end <br /> correcf. All provisions ol/aws and ordinances goveming this type ol work wi/l be complefed <br /> whefher speci(ed herein or not fhe grantinp ol e permif daes nof presume fo glve euthoAty to <br /> violafe or cancel t�,e provisions o/any other state or local lew reguletinp constructlon or fhe <br /> peAormance l cccrtruction. That I am aufhonzed by the owner ol this property fo peAorm fhe <br /> work lor wh appppyyycation�s made end 1 comply wifh fhe Stafe Contrectars Law 18.27 RCW and <br /> 296.200 W � <br /> Ipnalure ale <br /> �a L�/� - O-� C�- <br />