Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETf, WA 98201 <br />425-257-8810 - FhX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />'? � C� �I �— � � fn� r i,�y � % <br />PROJECT ADDRESS � <br />., i <br />�/�S ��8-lk,�'> <br />�'c4� � ��1 �d�� ��TD�� .S�C� j 1-1e..,..�.�� j- L�'t'�'� W-i <br />OWner Mail Address � Ciry Stale2ip Phone <br />�� ���1�-� � � <br />� � o c� �� n N,'�' r� <br />Tenanl Mail <br />City <br />Slale/Zip Phone <br />Y�.s-- �S�.Sb-)S' <br />J6-��1�.�,-��:t•.l �c'tit°_S LLC_ 1,yi[�{��.1.S�C 5%�ir'�':�,o W-� �/�c2'r"l� <br />Electrical Conlreclor Mail Address City � State/Zip Phone <br />I ) y/ ) <br />� G /1 <br />�lrl O 4J !' �'1 I.-. C� 7 � � �`l j� �— I ) / "C . �G��-i <br />� <br />Slate License Number Contrect Price of Work <br />.. .�C ;�� �: <br />Proposed Us of Building <br />Description o( Work to Be Done: <br />NOTE: WIRIfJG 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 />Conlacl Person (Plan Review) <br />e,- �; ,� wrr, I G U� ch � I a � 0 � <br />1 hereby certify lhat I have read and examined this applicafion and kno�v the same to be frue and <br />correct All provisions ollaws and ordinances goveming this type of work will be complefed <br />whether speafied herein or noL The granting o( a permd does nof prosumo to give authonty to <br />violate or cancel lfie Provisions of any ofher state or local law regulefing construction or the <br />perfonnance o/ constniction. Thaf I am authonzed by the owner ollhis property to pedorm fhe <br />work lor which applicafion is rnade and 1 compty with the State Confractors Law 18.27 RC W and <br />296.200 WAC. <br />.� - G'_ -6 - c� 8 <br />FEE <br />I ��•� � <br />/ � <br />�� 1 '�� `� <br />�0> <br />