Laserfiche WebLink
( 1 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98207 � I <br /> 425-257-8810 - FAX 425-257-8857-www.everetlwa.org ,%!'� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 1 PM <br /> �Y�?> l�) i(�`��1 f�(� ��� �-d0 - 1.�-� <br /> PFOJECT ADDRESS <br /> ��'�'�v U�) i(�� c,.c� �l � �oY� � <br /> eie� 1 Mad Address Clty State2ip Phone <br /> J <br /> �.. l <br /> Tenenl Mad Addmss City Stale/Lp Phonn <br /> f --r.�J � �r\C` , i_ �' � � <br /> r� � <br /> Eled tal ContradOr MaA Address Clty Slate2ip Phone <br /> Y'I��� ��" �C(�(�Y'�1\\� �2�C�C) �� <br /> State License Number Contrad Pnce of Work <br /> ���1�^��^,^,Q l�C 1�l � � '�; ��CtCI'��Y1C�P , <br /> Proposed Use of Budding T Contacl Person (Pian Review) <br /> � n� � l��l-t�t►� C9r`�-+LLS � �'� '� ' � <br /> Descnplion ol Work to Be Done ` � v` -� <br /> NOTE WIRING IN NON-DWELLINGS IS REOUIRED TO FEE <br /> BE IN RACEWAYS. MC OR AC CABLE. <br /> CITY OF EVERE 1'T IOCAL SALES TAX CODE IS 9106 <br /> �IroroGy cmfity Ihal I Iravo iood and oxnmurod flus applrcalion end know fho sanro fo bo huo and � <br /> conocl All prov�sions o!laws and oNmancos govornm�J fhis fypo o/woik wrll bo a�mplofod <br /> �rhofhoi spocdiod hoiam or nol. Tho gianfmg o/a pormrt does not p�esumo fo grve aufhonty fo �� <br /> violafo or cancol fho prowsrons of any ofhe�sfalo or local law regulahng construchon or Iho ' <br /> p�rlormarrco o/consl�uchon Thal I anr aufhonzed by fho awner o/fhls proporty fo�wdonn Ihe <br /> wo�k lor which apphcatron�s mado and I comply wrth fho Stafe Confracfors Law 18 27 RCW and <br /> 296200 WAC <br /> a/�b� <br /> S�gnalure Date <br /> � �� � 36 <br />