Laserfiche WebLink
ELECTRICAL PERMIT AP�LICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CLJAR STREET, EVERETT, WA 98201 � _a 1-0� <br /> 425-257-8810 - FAX 425-257-8857 -www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM ��g� S-1 �� <br /> ( I2 (v (Uc�ii .•` Pr ;vt� <br /> PROJEC'�ADDRESS <br /> � QC tN�Y /�I'0.1/� Sc�y..�. PS a�o: C� <br /> OWi�Jr Afail Address Cily SIa1MZip Phonc <br /> Tenant I.fad Addmss GI�; Slate2ip Phonc <br /> �`�c1r`t �`�'� �( lc.�-C`L- I�6 I ( /��J {c• I1'CU �if��Wy S�� i'- 1/' S "� �5 <br /> ElectricalContractor M1tailAddress City r� � � State2�n qYp�.7 Phone <br /> L hc�:,� <br /> �� c�LTSE �5� � � �> Jf `'1'�-0 . w <br /> State Lir.ense Number Contract Price o(Work <br /> 5� 2 ���,� �,.�o�� � <br /> Proposed Usc o(Building Contacl Pcrson (Pian Revicw) <br /> Description a(Work lo Be Done: � C —L-��f� (Z� �� a1 �roow�y � ,�� �¢ c �ti�d�� ��-�,��[v� <br /> . <br /> �;d �L..�:. .� /c,�,.,e,��v �v�� <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABIE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby certity fhaf I have read and exarnined this applicafion ond know the same lo be frue and G Ugv� 'l � <br /> correcf. All provisions of laws and ordinances�ovemmg th�s type ol�vork will be complefed <br /> whofher specdred herein or noL The gran!ing o(a pernuf does not presume fo�ive aufhonty fo <br /> violafe or cancel fhe provisions o(any other sfafe orlocalla�v regulating construction or the <br /> perlormance o(construcfion. Thaf 1 arn ao(horized by Uie owner ol fhis property to perform fhe <br /> work lor which application is ntade and 1 comply�rifh the Sfe(e Contrac(ors Law 7827 RCW and <br /> 296.200 INAC. <br /> -- /� ��z�/, � <br /> � Signalurc DAIe <br />