Laserfiche WebLink
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.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT& CREDIT CARDS ARE NOT ACCEPTED <br /> �7 �� C'o � �3 �i A �-� S'iXrH ��voR �. ,, <br /> PROJECT ADDRESS D Q� � C't�(� �� 3 3 2 r 2 <br /> S�-orvR � n� uru�� <br /> Owner Mail Address City State/Zip Phone <br /> k�Y �3�Nk <br /> Tenant Mail Address City State/Zip Phone <br /> 1��(' 1 DD l�6 L�ECT�P lC / 1����1 /1/ �fINUE/'�/C`> � 1NN�`lld✓J �U� <br /> Eleclrical Contractor Mail Address City Slate2lp phone <br /> �lZll)D�'�U� ff3 � .�����—X /(ova, ".z' <br /> State License Number Contract Price of Work <br /> �DA�h1424�J�� _ <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work ta Ba Done: /���GtJ I��� �/'7"��[.E J /�I� /v�.rGt/ <br /> w��� �.� <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 certily that 1 have read and examined fhis applicafien and know the smne to be true and <br /> correct. All provisions o//aws and ordinances govemmg this type o/work will be complated <br /> whether specified herein or noG The granting of a permd dees not presume to give aufhonty to <br /> violate or cancel the provisions o(any other stafe or/ocal!aw regulating construcfi;n or the <br /> pedormance of construction. That I am authonzed by ihe owner uf th�s propeRy to pederm the <br /> wak lor�vh plication is made and 1 comp/y wifh the State Confractors Law 18.27 RCW and <br /> 296.20 <br /> � �� ,L �W"� v� - �l (� S� � ' <br /> ig ature Date ` �� � <br /> �' 1 <br /> _ �d `�u <br />