Laserfiche WebLink
` ELECTRICAL PERMIT APPLiCATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-885? - www•everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> -�,b v S C'Ow�.,r2 �`f_" <br /> PROJECT ADDRESS <br /> �QC�''.,�1�rJ, u^ �W1 ��''1r"=� - <br /> Owncr A1ail Address City State/Zip Phone <br /> Tenanl M19ail Address City StatelZip Phone <br /> Pw�A ��L :�,c,� l�-o2t-it" �v� Nr o Sta�,uN� �w�t 9���s � 2v6. 3�9. ��49 �I <br /> Electrical Conlractor Mail Address Ciry State2ip Phone <br /> �MAr:,z.f c94zS� � �' `�°`7'ro <br /> , <br /> Stale License Number Contract Price of Work I <br /> Jf IZ <br /> Proposed Use of Building C,ntact Person (Plan Review) <br /> Descriplion of Work to Be Done: Z�41i�D ��'`� ����Y`�'������' � l��U���A[>>� <br /> 1)(�„ldlnl <br /> NOTE: W IRING IN NON-DW ELLINGS 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 ceAily that 1 have read and examined fhis applicaficn and kno�v Ihe sarne to be true and <br /> correcf. All provisions ol laws and ordmances[�overmng this type o/�:�ork will be complefed <br /> whether specdied he�ein or,not The granfing oI a permd does not resume to give authonty to <br /> violate or cancel Ihe provisions o/any other sfafe or local la�v rec�uPting construcGon or the <br /> performance oI consfruc6on. That 1 am aathorized by the owner ol fh�s property fo perfomi fhe <br /> �vork for whrch application is made and I compty wifh the Sfafe Contracfors Law 18.27 RCW and <br /> 296.200,WAC. <br /> � <br /> q <br /> � <br /> ; . <br /> ���%Y r ''! ���J�jy <br /> � Si atore!� a1e ,_ <br /> � z(�/�!G( G��L <br />