Laserfiche WebLink
; <br /> i <br /> ELECTRICAL PERMIT APPLICATI(�N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETf, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br /> .— q <br /> ';'� � �.- � � (� i i . !�^� t' i i l� <br /> PROJECT ADDRES,q � <br /> � y,�.h-,��-�� l � <br /> .;�.���( 1 ; � �ril_� � � �_:� 1 '-��10� (°t�lf�r.-,,� Gl.�e � ► �tlffi �j�;�U3 <br /> OWner Mail Address City ' State/Zip Phone <br /> Tenant Mail Address Ciry State/Zip Phone <br /> C�l.l' ll�.�'' <br /> Electrical Contraclor tdail Address City State2ip Phone <br /> N fl ti�A <br /> State License Number Contract Price of Work <br /> � <br /> (�� ll)C � l�,r�l:� ll4'I���-� �� t r ��Snr� <br /> Proposed Use of Bu�lding Contact Person (Plan Review) <br /> ' ��a�-f� a���4 ��!-�vv�, <br /> Description of Work to Be Done: (r�v��I�� C' �'Y� =i — <br /> NOTE: 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 /> I here6y certily that I have read and examined fhis applicafion and know th�same�o be true and <br /> cerrect. All provisions ol laws and ordinances govemmg this type o/work will be completed <br /> whether specified he�ein or not. The granting of a permd does notp resume to give authonty to <br /> violate or cancel the provisions o(any other state or local la�v regulating construclion or the <br /> per/ormance of construction. i hat I am authonzed by the cwner of this property to perrerm the <br /> work for which application is made and I comply wifh the State Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> � � ;. <br /> I �'i,�e��-�.-�--- ! /!��/o� <br /> i9naturn, ate /}/I <br /> i�!; <br /> /nl <br /> � <br />