Laserfiche WebLink
� <br />-,- <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT', WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />3t l�/o;� S,�! C�'�rll <br />PROJECT ADDRESS <br />Owner <br />Tenanl <br />Mail Address <br />Mail Address <br />� �� <br />Ciry <br />Ciry <br />,���.D �� CY��C,�t�1C. �, 3bU �o�l�a►-� yc�re �r �wv <br />ElectricalContracror MailAddress City <br />�LS 23Z�17� <br />nri��DCI9y-�l?T <br />State License Number <br />Proposed Use of Building ��� � <br />� <br />Description of Work to Be Done: �Di'ti���� 1✓9�C1 <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />�����-�j/,` <br />9's��� <br />Slate2ip <br />Slate2ip <br />SlatelLip G <br />� <br />�g <br />Phone <br />Phone <br />l I�YL�Y W <br />( L Phone <br />Contract Price of Work <br />�o���n l�d!(%r _ <br />Contact Person (Plan Review) <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certily that 1 have read and examined this application nnd know the same to be true and <br />co�rect. All provisions of /aws and ordinances goveming tlus rype o(tvork will be completed <br />whether speci�ed herein or not. The granting o/ a peimit does notp: esume to give aufhonry to <br />violate or cancel the provisions oI any other state or local law regulafing construction or fhe <br />peAonnance o(construction. Thaf 1 am authonzed by tbe owner o/this property lo pedorm the <br />,,..�, i.�.,�,r��, a,,,,r;�arr��, r� made and 1 r.mm�lv wi�h the Stafe Contractors Law 18.27 RCW and <br />� � <br />FEE <br />�c lGG -G(`� <br />