Laserfiche WebLink
EL�CTRICAL PERMIT APPLICATION <br /> CITY OF EVERE�T PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 �,��7 <br /> 425-257-8810 - FAX 425-257-8857 -www.everettwa.org /a"� � <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �D � �'�L <br /> � 13�o wnnar,�.r v;�r �,J �(— �,i{��`}i—. <br /> PROJECT ADDRESS <br /> Otvner Afail Address Cily State/Zip Phono <br /> �vC�t� <br /> �S,c- C�� �V�etel� Il �o �ar;�.�e�r�,..pr wA <br /> �enant A1ail Address Ciry State/Zip Phone <br /> SP4/�r�w. !'n�7���. ��3 �+''�� /VJ-� 3_'Jf{pj� C.-c7� '��fri'MI `�•7S .317 8rZS9 <br /> Electrical Ce�tractor A9ail Address City Slate/Zip Phone <br /> 3 <br /> S��coc�9�uDC� s Z� _U � 3�cr� = <br /> Slate License Number Contract Price o(Work <br /> �r�T" t. ,aS4 <br /> Proposed Use o(Buildinc� Contact Person (Plan Review) <br /> Descriplion of Work to Be Done: ���ct`l 3I �'i.�a. ��1�'t' S <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 hereb}�certily fhat 1 have read and examined this epplicafion and know fhe same to be Uue and <br /> r,onecL All p�ovisions of laws and ordinances govemmg this type of work will be comple(ed <br /> �vhefher spec�6ed hemin or noL Tfle�ranfing of a pemut docs nof resume to�ive authonty to <br /> �iolafe or cancel fhe provisions o/any other sfafe or local la�ti�reguPfing construction or fhe <br /> pedormance o/consfruction. Thaf 1 am aclhorized by fhe o�rner o/this propedy to peAomt the <br /> �vork Ior which application is ntade and I compty�vilh the S!nte Confracrors La�v 18.27 RCW and <br /> 29�.200 WAC. <br /> � , C���— <br /> �o���� <br /> 7 � �, - <br /> T _ r <br /> $I(JI10 OfU -� - U8�°_ �v <br />