Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 -www.evereltwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM � ..�7�J 2 <br /> L%/2 O/—/O�j <br /> ZJ � �,I �O rb r V1 � Y`� <br /> PROJECT ADDRESS <br /> �f�-S <br /> ,�.Ov�vi �o� S��,j Gor�� �t �7v' �9 . l,t�c�- �`�2oy �39/- 7�p <br /> Owner Mail Address City State2lp Phone <br /> Tenanl Mail Address City State/Zip Phone <br /> ( w Q(P 1S <br /> �ea�5 �� �h �� Serv�'c� 8�.7 G• � y _ �l <br /> �� r a Gl-l_ � e. ,� � 9 <br /> Electrical Conlractor Mail Address City Slale2ip Phone <br /> �-v�=ES 9<31 � 8 �-�r � � v, °` <br /> State License Number Contracl Price of Work <br /> �' r h4 I`L- �+^'(• ✓��, - <br /> Proposed U of Building Conlact Parson (Plan Review) <br /> Descripl on of Work to Ba Done: (�'G 0 U '� �C( N'G� D"�'�� <br /> �''�C�`�� C(u- `L ✓' ��fti <br /> '=�1/t r-i'�c�r- /1/(c�r'vt -/bo � - (�(�� ��vac� L F <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO �E <br /> BE IN RACEWAYS, MC OR AC CABLE. �� D� <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 , r <br /> 1 here6y certily that I have mad and examined U�is applicafion and know the same to be frue and � I Zd I — I O �-} <br /> corroct. All pravJsions of laws and ordinances goveming this type o(work will 6e complefed � <br /> whether specilled herein or nof. The granting of a pemut does not presume to glve aufhority fo <br /> violate or cancel ffie provfsions ol any other stafe or local law regWafing construcGon or fhe <br /> performance o(consfruction. Tfiat 1 am authonzed by fhe ownor o/this property fo peAorm the <br /> work Ior which applicafion is made and 1 comply with the State Con(racfors Law 18.27 RCW and <br /> 296.200 WAC. <br /> C��.� l-�I.� <br /> Signature Date <br />