Laserfiche WebLink
ELECTRICAL PERMIT APPLfCATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETf, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />�52v Cv�r����-��J c.��y <br />PROJECT ADDRESS <br />S - a-U -b,� <br />C.?�6os-!3� <br />�JC>NfJ I�,1°�SC>�J 4v30 MISSic� g��neH D� N���USL�ILLt w`� RS.�•7O <br />Owne� Mail Addmss City Slale/Zip Phone <br />Tenanl <br />R1ai1 Address <br />City <br />StatelZip <br />Phone <br />GAS�i,uL f�1�=cl�I'r�iCu�L, I�� PUC��Y IIC�'� (�Yc�i�1v���G (.u1�9�v7',� G254R72s5 <br />Electrical ConUaclor htail Address City State/Zip Phone <br />Slale License Number <br />RL-r���� <br />Proposed Use of Building <br />�ii �)%% � <br />Contracl Price of Work <br />.(�rcG'f ��i<�9cJF0/ZQ <br />Contacl Person (Plan Review) <br />Descriplion of Work to Be Done: i n� IJ Ll,J I H E Rf-1C�`TNT Iti� t PC�> <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACE';VAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceriily thal 1 have read <br />correct. All provisions o(/aws � <br />�vhelher speci�ed herein or not. <br />vialafe or cancel lhe provisions <br />perlormance ol constructwn. 1 <br />work lor �vhich application is rne <br />296.200 WAC. , <br />fhis application and know fhe same to be Vue and <br />governing Ihis type of �vork �vill be camplefed <br />a(a permd does nof resunte fo give authonty to <br />afe or local law reguPfing consfruchon or the <br />�ized by die o�ti�ner of fhis prope;ty to peAorm (he <br />Iv�vilfrthe State Confractors La�v 18.27 RCW and <br />FEE <br />� o C�oS � � 3 5� <br />