Laserfiche WebLink
� <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICE:' �,, i <br /> 3200 CEDAR STREET, EVERETT, WA 98201 �'/01� � <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> i//D8 ���2 �Q��� c��A�,�� <br /> PROJECT ADDRESS <br /> t!/��i J�D�Fi7T/ES LL e, f 6a 7�� �ALC A'A�FAU6 �L�AtD OR 9 ��o� <br /> OWner Mail Address� City State2ip Phone <br /> ��s �►a � <br /> Tenant Mail Address ity StatelZip Phone <br /> �'Low GbL7',�c 83s�vuK'tr'r �vt� A�t 8s'�,Syyf, <br /> ��(S �N6'/,fJ��//�//�t�6 Sf�S�:2riS .�`E'� Gc%4 3d'o3Z �-�- <br /> EleCtrical Contfado� Mail Address City StatelZip Phone � <br /> Ac.�.o� 5 i� � ,e �.v �i� 8��7. sd <br /> State License Number Contrad Price of Work <br /> %�� ti,4 nl-T (J-�vfi.vo�n.� <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work to Be Done: GG(.V �/C��.`A 6�' C p�lI('/ZUC. � /e�"(„a;q 7"� <br /> T S7Ats � i- ,���cv ,� c �eoo�,o /.c.,�i r �.��2F <br /> T - sraT, <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 /> 1 hereby,:erti(y that I have 2ad and exarnined this application and know the same fo be fnie and [Q(y p"�—pC{ � <br /> correct. All provisions ollaws and ordinances goveming this type o(work will be completed <br /> whether specified herein or not. The granting o/a pe�mit does not iesume to give aufhonty to <br /> violafe or cancel fhe provisions o/any ofher state or local law reguPfing construction or fh�� <br /> peAormance o/construcfion. That 1 am authonzed by fhe owner ol fhis property to peAorm the <br /> work lor which application is made and 1 comply with the Stafe Contractors Law 18.27 RCN'�nd <br /> 296.200 WAC. <br /> e� ��C.l_.��' 7��D'� <br /> �� Date <br /> (�U � %� <br />