Laserfiche WebLink
- - � <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVI;;ES <br /> 3200 CEDAR STREET, EVERETT', WA 982U1 <br /> 425-257-8810 - FAX 425-25?-8857—www.everettwa.org <br /> IAPPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> ���� �/p ��'L'P � � ' �� <br /> PROJECTADDRES �i�P����-�� n���� <br /> / <br /> ,�CCG CL I YG DF'i/'1 r P5 <br /> Owner Mail Address City State2ip Phnne <br /> 4"v l�? l��/� � � . <br /> Tenant ail Adtiress Cily Sta�e2ip Phone <br /> �i911'G'7L�� LI t C.�-�Y' - ���� �-1f��I"�UP �� � �y�(-/dVi��r' _�/�� �a�0 <br /> Electrical Contractor Mail Address Cily St t�'2ip Phone <br /> :=f�'1C1"Z �C �l P�- �- LS .J�D �,J�`�` J�oJ� <br /> State License Number Contrect Price of Work <br /> ���f�t — c�C, ��• _ <br /> Proposed Use of Building Contact erson (Plan Review) <br /> Description of Work to Be Done: J �C h,C.L�I�-5' ��''"htG�y ,�t� <br /> NOT[: 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 ce,dily that 1 have read and examined fhis application and know the same to 6e true and <br /> correct. All provisions o/laws and ordinances goveming this type ol wo�k will be comp/eted <br /> whelher specJied herein or noL The granting o/a permrt does not presurne to give authonry to <br /> violate or cancel the provisions ol any ofher sfate or local law regulaling construcfion or the <br /> pedormance ol const�uction. That 1 am authorized 6y the owner oRhis property to perform the <br /> work for which application is made and I wmply with the Stafe Contracfors Law 18.27 RCW and <br /> 296.200 WAC. <br /> ;,��,r � � �>s�^ +�� �'�/� /„ � � C� <br /> .. Signature Dale ' <br /> i <br /> r�/ 11�/'va j <br />