Laserfiche WebLink
ELECTRICAL PE�MiT' APPLICATI�N <br />CITY OF Ei/ERETT PERMIT SERVICES <br />320U CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - F,�,X 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />l��/ S�'�L <br />�'�r �� ' : � cP %" � <br />PROJECI' ADDRF�SS� <br />LtiPT S<� � � <br />Owner <br />Mall Address <br />Cily <br />MallAddress j��YP `Ci <br />, �'Z/� 5�2-iro'rr'/E <br />�L:io %..�_ � <br />Conlrector Mall Address <br />����.�s 9�/ic�i= <br />Sfale License Nu!nbe� <br />!�i �i/ <br />Proposed Use ot Building <br />Description of Work to Bo Done: / 7j C%/ � <br />7' �i C ��%C�G ��S '- <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />Cily <br />Slale2ip <br />Slafe/Zip <br />State/Zip <br />Phone <br />Phone <br />Phone <br />� / s,�-� � <br />Conlract Prico of ork <br />Conlact Person (Plan Revie�v) <br />y ceRily tiiaf 1 have read and exAmined this application and know the same lo be true and <br />All provlsions olla�vs and ordinances goveming this type of �vork �rill be completed <br />r speci�ed herein or not The granfing o/ a pemut does nof resume to give aufhonty to <br />or cance/ the �rovisions of any other stafe or local law reguPting construcfion or tho <br />iance o/ construction. lhaf I am aufhonzed by the owner o/ fhis properfy fo pedom� Ihe <br />�r �vhich �iplication is�made and 1 compty with the Slale Contractors Law 18.27 RCW and <br />"- I1/�i�%�, � <br />FFE <br />�'C7G(c-l2 rY <br />