Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 C[DAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br /> / <br /> �,� � � C�C�E.�LI:��t�, j.�(�✓GcG� <br /> PROJECT ADDREu� <br /> '-� <br /> .�n � l,�t�U,5 �xz�r� C�� �.�c�� <br /> O�vnef Mail Address City State/Zip Phone <br /> �'L �l� - <br /> Tenanl Mail Adtlress Cily � StatelZip Phone <br /> �C�YL'Y�/�-[:�Fc:{�t'c.�KU���=/G.C'.� I ?��'.�1 N� 1 L �St �.�ll.��c�.., cc.)� ��t�t��. <br /> Eleclrical Conlraclor Mai�Address City State2ip Phone <br /> ,{�,s�,2/7'/ <br /> LI� rti'a��-S�i�� � l��— �:��' <br /> S�ate License Number Contracl Price o(Work <br /> %� ���s.� t�Cr�-1-Ei.�' <br /> Pwposed Use of Building Contacl Person (Plan Review) <br /> Descriphon of Work to Be Done: �1.'����Ct-�� ��-� ��T���� �'`�'�"" � C��"� <br /> �Q l�� ��- 'C�-� CZ.�-��-' c�-�i L f,7�LC�c:f'� <br /> NOTE: WIRING IN NON•DWELLINGS IS RE�UIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. t <br /> ��7 �. ��L� <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hr,rehy ceRdy that I have read and examined this apptication and kno�v fhe sarne(o be true and <br /> concct. All prowsions of laws and ordinances governin9 fhis type o/�ao�k�vill be complefed <br /> �vhelher spealicd herein or noG Tho 9ranfin9 of a pernut does not presume fo give aufhonty to <br /> violafe or cancel fhe piovisions ol any other sfafe or local la�v regu/ating consfn�ction or tha <br /> pmfonnanco ol consVucfion. That I am authonzod by Ihe owner ol fhis property fo per(onn fho <br /> �aoik lor�vhich application is made and I comply wi!h the Slafe Contractors La�v 18.27 RCW and <br /> 296.200 WAC. C�\ <br /> ., <br /> ������-�et 1�u�1-1-�'tL� la_ 5 —C���� �, ;� <br /> ,�� �,� <br /> Signature Dale ,� \ <br /> ��z� <br /> , <br />