Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br /> CITY OF EV��ETT PERMIT SERVIGES <br /> 3200 CEOAR .-TREET, EVE' �TT, WA 98201 <br /> 425-257-8610 - F�-,X 425-257-8857-www.evereltwa.org <br /> APPLICATIONS ARE ACCEPTE7 FROM 8 AM TO 4 PM <br /> r � <br /> y< � � �� �,� � c�i �( : � l L�"'�CL . . i— <br /> PROJECT ADDRESS _� � <br /> �,�Iti� '} � � �_; i ��r. _ �� �- _ _����� �- �u. ': , � I r l� <br /> ,;,,� ,� , �, , _ n , .. c - � - <br /> Owner M1GellAdq{@Sg C�{y � ..e;e/Zip Phone <br /> � � �S�Ci - I�.ulk_ `11-.Iri �.b�f '"� i , i�r� .. � �•l=- I,il� `)�7G7 ' 3��i��Vl,1 -`��,�. I <br /> fenant� MailAddress � —�Cily Slate2ip Phone <br /> ��l�lQ�� ����1 �i� �[v����- 'J1f��l L:: 6i�1�1.,� (0� ���il"71'1 LJT� ����G`J�-� �4ZJ � �I�� ls`JEii <br /> Elec�rical Con�rector Ma!I Address City Slale2ip Phone <br /> ���� ���� <br /> I 1 L L I � '�V')��)Jr�k) � , ����. <br /> State License Number Contract Price o(Work <br /> I�iC�K. I��i�L�-)`� <br /> Proposed Use of Building Contact Person (Plan Review) <br /> r <br /> Description of Work to 8e Done: 1�!\�t_ �`� C(;i���l.t rF�._S -�i--� j��� Cf�l�O �-�- �� `-��. '.�-��'- i��� <br /> `- <br /> �V�C.� �C� ilcr" i��� ��IC.�.C' �4Uk.�Ylf �' ��Itn-1-(�1 �GY�- i'�1 .�LLr�k.�Yti �A�- � .SUS�4r-{-�' C�V.vi. ���-II% I <br /> ��.� / <br />� �UU�'-n��L I�UI"-Il�� .`>�Clc' i-I �)(".r t=uy )CI , �=� �1��1d (���: i't� (�L•_�� SiC�i , �P,11 1 L 4. 11-� l:"i.1V ( <br /> . �(��`-� ( . <br /> C•.i�e�l fl`�lYl . k J <br /> � I�C �.rn�i Icc�,n� ����sl � i(; ,o-C �1�� }- r1�c�11I d��-��S,f. <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 ceriily Ihaf I have read and examined Ihis ap(�licafion and know Ihe same lo be tiue and <br /> correcL All piovisions ol laws and ordinances govennng this type ol work will6e complefed — � �( Z ` � � � <br /> whefher spec�6ed herain or noL The granfing oI a pemut does not presume to givo aulhonry to �-- <br /> violate orcancellhe p�ovisions olany ofherstate or/ocal la�v regulating consfruchon ortbe <br /> peAomiance of construction. Thaf I am aitlhorized Gy fhe ownero(fhis propedy to peAorm Ihe <br /> work lor�vhich application is made and I comply wilh f/�e Sfate Confractors Law 7827 RCW and <br /> 296.200 WAC. �"� <br /> ' � i <br /> .. /�i7 1,.� ����,r . .'"1 i � 1 �7 - �� � � L� <br /> l��' Signalui I,� l, �� - — Date <br /> � ` <br /> i <br />