Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 �� .- � 3-47 <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org C b7/��/�O <br /> AFPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> � ���� Cv � � y ��� <br /> PROJECT ADDRESS <br /> �"/ ( <br /> Ci 47 � h C%� <br /> Ownet Mail Address City Stale2ip Phone <br /> r�Cr�1G �� ��f51'c,�'G�`� <br /> Tenanl Mail AAdress Ciry State2ip Fhone <br /> ��-c� ,��. ��r� , 73/ 25?��s �. /c�l.�J 5����d' /,�//� l�r�Z1`T <br /> Electrical CAnUador Mail Aadress City State!Zip Phone <br /> �. l-� Y�C�=o,�IK q �C � o, �' <br /> Stalc�License Number Contr ct Price of Work <br /> ��s l c. r c, �.�.� �-- <br /> Proposed Use of Building Contacl Person (Plan Review) <br /> Descnption of Work to Be Dono: l � � e k i �r��� � /� '7.8- Ct � <br /> �!Z'C�H1 �i i G( fS7'i��'i� <br /> NOTE: WIRING IN NON-DWELLINGS IS REDUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I berehy certily that I have r�ad and examined this application and know the same l0 6e Vue and <br /> correct. All provisions ollaws and or'dinances gove�nrng fhis type o/work will be cornplefed <br /> whethe ��ed herein or noL The yranfing ol a pemut does nof presume fo gi�•e aufhority to <br /> viola or can I the provisions oI any ofher sla r local latv regulating cor.strucfion or the <br /> pe rmance o construptron. Lh�t I am io by the owner oI fhis property fo perform fhe <br /> wo�k lor which pplic<-.I n is ma8�arA c� ith the Sfafe Con(racfors La�v 18.27 RCW and <br /> �29 .200 WAC. � > <br /> � � � ���^ � <br />� 51gnature Date <br /> �C � 1� I �[ (/ <br />