Laserfiche WebLink
_ i - � � <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—v�n�,w.everettwa.org � <br /> APPLICATIONS ARE ACCEPTED FROM 8 AIVi TO 4 PM -DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br /> � <br /> . U� 1 �://„ i�� � <br /> PROJECT ADDRESS <br /> � <br /> � <br /> ��i�� ci _ c �<<�ri�, c� �G�7 L���v �v� , �vF/e � l,.%F <br /> Owner Mail Address City StatelZip Phone <br /> � �/ I ;1C � �{'1E� lF�✓1�P Z�G � �c�lJV �'Y"f{ `�VflrL� // <br /> Tenant MailAddress City SWte/Zip Phone <br /> 1:,,,c. �,�7`� 7-� `/`%Z9 b�';/�;c7`%;,F ��� ./,j,� lv�' 7���> <br /> ` Eleclrical Con raclof � Mail Address �y •� Stale/Zip �3�� _�s� Ph��� <br /> �`iJ1L �G1� oZz T� \ ' � ) I f /L� SdG - <br /> Slate License Number /� I�� / Conlracl Price of Work <br /> l � �� � <br /> �, �' S• „ � c� ' � �/,,;,u,� . C�?r�,,/.,�, <br /> Proposed Use of Building 1 Conlacl Person (Plan Review) <br /> ���� // <br /> / [ i� / ��1 <br /> Descriplion of Work to Be Dono: �/ r" PC! C' l v G u � l S r� r �i %�,. : c/ S V-S/F�h <br /> � f� C( (e7'i'i'iC'��i��o.` <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ce�0ly fhat 1 have read and examined this application and know Ihe seme to be true and <br /> correcL All pruvisions o(laws and ordinances goveming fbis type o/work will be complete� <br /> whefher specified herein or noG The granting ol a pem�it does not �esume to give aulhonty to <br /> violate or cancel the provisicns ol any ofher state or local law repuPfing construclion or the <br /> peAormance o�constiuction. That I am aufhonzed by the owner ol this propedy to perlomi the <br /> irork lor whid epplication is made and 1 comply wifh the Sfafe Contractors Law 18.27 RCW and <br /> 296.200 WA� <br /> 1 //� , <br /> �:�����i:���. � � <br /> � � ,^----- �-, —�'-C � <br /> Si9naWre Dale <br /> LvSoCa -Gp� <br />