Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES S — aq�o� <br /> 32v^0 CEDAR STREET, EVERETT, WA 98201 �� s_�S� <br /> 425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM S AM TO 4 PM <br /> I <br /> I <br /> 7�, c / �,�,� �,[ ,'� �v�rE 7�c 1�° F c�A e� <br /> PROJECT ADDRESS <br /> -;�i:�L. i ni ��� <br /> Owner Mail Address City Sta�elZip Phone <br /> -�l f �"I c x C>>�l i'E� <br /> Tenant Mail Address City State/Zip Phone <br /> �; I�l��/, [ k � �' � [ . � <br /> Electrical Contractor � 'Mail Address Ciry State/Zip Phone <br /> � � ���•�� ._ <br /> State License Number Contract Price of Work <br /> G�FP �c� �� i{J/3��"'L - � <br /> Proposed Use of Building Contact Person (Plan Review) <br /> II <br /> � <br /> Description of Work to Be Done: �`� �'�r��t `T f�'��E �� ����� �� � � ��� � <br /> -, r_ ., . , , ' � �.'E—�— <br /> � �, , � . cr �FJ <br /> :'iL�G-. -,i�'t.. h� 7(_ Jc /drv��% _�E �� v� � <br /> � <br /> f l r` 7 / �'�"' i / �- �✓ _ <br /> NOTE: WIRING IN NCN-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS. MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 r G G�Q <br /> II hereby certi/y fhat I have read and examined this application and know the same to be true and L�0�� � � l', <br /> cocect. All p�ovisions of laws and ordmances governmg this type of work will be completeA <br /> whether spec�6ed herein or not. The g�anting oi a permrt does not presume to give authonty to <br /> violate or cancel the provisions o(any other state or local law regulating construcGon or the <br /> peAormance of construction. That 1 am authnrized by fhe owner of th�s property to peAorm the <br /> work/or which application is rnade and 1 comply with the State Contractors Law 7827 RCW and <br /> � 29&200 WAC. <br /> i �.�I � <br /> %� �' �( i. F l;' t' �Cf3 <br /> � _ � � <br /> 7 Sig�aNre Date <br /> � <br /> � <br />