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.everetlwa.org �rj'�Q 5,,,(�Z <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 2� I �-I ('ol l��l <br /> PROJECTADDRESS <br /> ��G�n� � 1���►��h ?�ly Cc�ll��l E�cre-I+ w� qkZol 425-3y-453y <br /> Owner MailAddress —�City Stale/Zip Phone <br /> '�lV��la 28►U C:, lb�� CvQYc1-F w►� 95�0f 4153��>-vs3� <br /> Tenant MailAddress City Slate2ip Phone <br /> 425- <br /> �Cr� Nec�n Si�n� S�iclei�nS �4c,� 1-bYdu.Y� Qd. Eva,���-1- �uf4 9S'7v3 ��6-�35 <br /> EleclriCalContfattor MailAtldress Cily StatelZip Phone <br /> t"�CC�Q� NC t�Ss� I—`'� �; �} y 9� `� <br />. State License Number Contracl Price of Work <br /> C�vn��e.r���af 'fruccc S�-� les <br /> Proposed Use of Bwldmg Contact Person (Plan Review) <br /> Description of Work to Be Done: ���/i 1� VCaY1QO�e� C�Ylcj LA"111Q�f -IO LOWQ1' GCi' I V�S�II <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CI7Y OF EVERETT LOCAL SALES TAX CODE IS 31 DS ' <br /> I hereGy ceriily that I haw read mid er,�minud this applic�(ion and kno�v the samo to ba fn�e and <br /> E c,��os- i t�. <br /> wrrect. All provisions o//aws and ordinances govemuig this type of work will be comploted <br /> whether specilied heran or not. The gi.nting ol a pennd does not resume fo give aufhonty to <br /> violafe or cancel the pn,disions o!any olher sfate or local law reguPling construct�on or the <br /> peAormance olconsfructioa That I arn authonzed by fhe owner o/fhis property to perfomi the <br /> work lor which application is made and 1 comply wRh tho State Contractors Law 1H27 RCW and <br /> 296.200 WAC. <br /> � ,�i��/,/,�� �/�1.�� <br /> �T� ��e i <br />