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 3 —OS"��j <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM � �3D3 `�� <br /> � y�� f��,sf �/,�w �,� ��� /�ao,3 <br /> PROJECT ADDRESS LI o�S'�9,J—�(�S�S <br /> ���,y i����c�.� �?lod' jre�t l/r�� �,� C�e�� �it/'/� ��°��.3 <br /> Ownef Mail Address Cily Slale/Zip Phone <br /> Tenanl MailAddress City Slate/Zip Phone <br /> /i/S/���'Y�� � hi p�r1 ,t�/�ln� 6� DG✓/lf/' <br /> Elec�rical Contrac�or M11ail ress �y SlatelZip Phone <br /> State License Number CoNract Price of Work <br /> J//J F/i0 � �/!7//`/ ��rs////JG� <br /> Proposed se o Building � Conlad Person (Plan Review) <br /> ���sv ��ao �'� � /������y ���y�f , <br /> "Square Footage p(residenlial n w con ruclion, emodel or addition) <br /> Description of Wo�k to Eie Done �.f��� ��C�(/�_���"���Gf'�� — - r� . <br /> ��-�� ���a. /��d�f io- ��,���,f Pi�'lP�'�r�G�� �-��,_ <br /> _SG✓/ � . J/� Cil ��_/2�/_!/�/�°� ��� ���'/'/�vfi/,C . <br /> NOTE WIRING IN NON-DWELLINGS IS REaUIRED TO FCE <br /> BE IN RACEWAYS, MC OR AC CABLE. ��� <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br /> 1 herehy ce�(ily(haf I have read nnd examnied Ihis application and kno�v the sanre fo be hue and � 1l I <br /> conecf All provisions olla�vs and ordmances gwemmg fhis type ol work will be conipleted ���D 3 � (/� <br /> �vhefherspecilied hcrcin ornof Thc�ranling ol a pemut does nof presunte fo�ive aufho�ity fo <br /> viol�te or canc^r fhe provisions ol any other sfale orlocal low regul�iGny construclion or fhe <br /> peAonnance ol,;ons(rucfion. Thnf I arn aulhonzed by(he o�vner ol(h�s property(o peAorm Ihe <br /> work(or which applicalion is made and 1 mmpty wdh 1l�e Slafe Confroclor:s Lav✓ 18.27 RCW and <br /> 296 200 W�C. • <br /> �'/r � � �� <br /> Slgnalur /Ti��^� Uale <br /> / <br />