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.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />-] I�I � G 6'� � f' i Ve <br />PROJECT ADDRESS <br />6 �-�t <br />CI � �b' �a.3 <br />5�u+e (�rx�c�n 5� i q�a5+ Dr� ve �/eretL 1,c7�q <br />Owner Mail Address City SlatelZip Phone <br />Tenant <br />Mail Address <br />City <br />State/Zip Phone <br />Pe+'�Fofmance Ele�fi �c. �30� a8and Pr ��n�.vo�d �9ga9a e�o-s�. <br />Electrical CoNrador Mail Address Cily SlalelZip Phone <br />I P�l�-FoEl�ii�lD� <br />I State License Number <br />) "� <br />l5 e J i �y�l�1C� <br />Proposed Use of Bwiding <br />Descriplion of Work lo Be Done�. <br />,� 4Do.0U <br />Contract Price ol Work <br />Contacl Person (Plan Review) <br />�Qt,� Z�D {�i7'i(� J�efUiG� <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 />� 1 hemby cerh/y fhal I have raad and exarnined this applica6on and knoiv fhe sarne to be 6ue and <br />co�recf. All provisions ollu�vs and ordmances governmg tnis lype ol �vork will be wmpleted <br />�rhethe� specdied herem or nof Thc g�anfing oI a pemut does not presumo to yive aufhority to <br />, v�olate or canccl fhe p�owsions o/ arry othe� sfafe or local la�v �egu/a6ng construc6on or fhe <br />pe�fominnce ol consfrucfion. Thaf I am authorized by Iho o�vnero/ lhis p�opeity lo peAomi Ihe <br />II u�o�k lor �vhicb �ppdcation is mado and 1 compty wilh tho Stafo Confractors Law 18.27 RCW and <br />, 296.200 WAC. <br />ca��/iQ'1"�l �'� - i � <br />� I IU(o ��z3 <br />