Laserfiche WebLink
ELECTRICAL PE�MIT APPLICATION <br />GITY OF EVERETT PERMIT SF_RVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-F3810 - FAX 425-257-8557 — www.everettwa.org <br />S �17-0� <br />C-05U S-d�,3 <br />AP°LICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />_� �5 G cr Lv <br />PF:OJECT ADDRESS <br />Owner / / <br />1-( � � 13 I o�: <br />Tenant <br />—p—C_l—�� �GU• <br />Electrical Obnlrector <br />clr co ��S�G� <br />State Licens Number <br />1�1.`JUi'4�(� <br />Proposed Use of Building <br />Addresa <br />7os .� <br />Mail Address <br />Mail Address <br />�-` .�� se <br />City <br />i�City <br />/�.,� '�ue <br />City <br />State2ip <br />Ff- � �8z�� <br />State/Zip <br />t,,..f �iY�v-s �{, <br />Stale2ip <br />yzs= 7�,_7s�3 <br />Phane <br />(� u _ <br />8�6- i& �9 <br />Phone <br />- %%�.'O !i� <br />Phone <br />`.� 1 vn, no <br />Contract Price of Work <br />J'I"LbL �LOVa ^ <br />Contact Person (Plan eview) <br />Description of Work to Be Done: / u Si?C c �/ ) _S �{ �{ iyt,� �._ /,�,,,� � L� f�c✓ C <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABIE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />FEE <br />1 hereby cerfdy thaf 1 have read and examined this application anc' know the same to be frue and <br />correcL All provisions ollaws and ordinances govemmg th�s type of work �vill be completed <br />whether spec�6ed herein or not The granting of a permd does no[ presume to give authority to <br />violate or cancel the provisions o(any other state or local law regulating construction or the <br />perfo�mance of censtruc6on. 7'hat 1 am authorized by G�e owner of this property to peAorm the <br />woik (or �vhic.h application is made and 1 comply wifh the State Contractors La�v 18.2i RCW and <br />�Qs �nn wac <br />_ ��.5 ��J <br />