Laserfiche WebLink
ELECTRICAL PERMIT AR'PLICATION <br /> ,. CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> ' � 425-257-8810 - FAX 425-257-8857—www.everetlwa.org <br /> �'r` <br /> � APPLICATIONu ARE ACCEPTED FROM 8 ANI TO 4 PM <br /> � � I I�-�,i/1G1 NR � � V �r ,{'�liT-fr I� GGtvI - <br /> PROJECT ADDR SS <br /> (O(�55 ���- Lltff STi�eT .5�.; rc ?o� �ZS_ <br /> J 5 �f �,,���=;�,;,-S, C �� �,„�� IS-e(1e,� c.,�� ���y Yss -�s <br /> Owner `��`��Mai17d��GUt 5 <��i��-Q �U Stale/Zip � Phone <br /> 206 -3`1q-y73' <br /> �'1,c'S`; r�- - }�JO�,v ` I�t� r �,, l� �O 32 -�— <br /> Tenant ail Address Ciry Sfate/Zip Phone <br /> SP�=rrl-P 1,�� <br /> ( ��� ���--�( � I�rT�,�[ 1(��2 #� ���,�I � ,�,� ��� � �, s u,�- ��z �� <br /> Elecirical ConVaclor Mail Address City St te2ip Phone <br /> W i ���v � .l- � �"� � U� -��W�U <br /> State License Number � Contract Price of Work <br /> O c�F�'< <br /> Proposed Use of Building Contact Person (Plan Review) <br /> YV�c�/e L r� � ' <br /> Description of Work to Be Done: /U�/1T � GG�(,/l W��I(-�f'7 S / ✓� <br /> Y1 t' �J in�Y�-t � S �`j'�vx !C� <br /> NOTE: WIRING IN NON-DWELLINGS I;REQUIRED TO FEf <br /> BE IN RACEWAYS, MC OR AG CABLE. <br /> CITY OF EVERETT LOCAL SALES TAl(CODE IS 3105 <br /> 1 hereby certify that I have read and examined this application and know tMe same to be true and <br /> conect. All provisions ol laws and ordinances goveming this type ol work will be completed <br /> whether speci�ed herein or not. The granting o(a permrt does not presume to give authonty to <br /> violafe or cancel the provisions o/any ofher state or local law regulating conshuction w the <br /> performance o/construcfion. That I am authonzed by the owner of this property to perlorm the � / <br /> work(000(((which apalica�ion is made and 1 compty with fhe State Confractors Law 18.27 RCW and ,_ �-,(�,� <br /> 296.2�W C. _� �' /�)� � <br /> I ��� .-��' , � � � <br /> 1 / i at � � Date <br /> V � <br />