Laserfiche WebLink
f <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 ���-�I"� �'f <br /> 425-257-8810 - FAX 425-257-8857 –www.everettwa.org ���/yp a� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> l a l � ��� w�^ ��, �-� - C-u.�,`.-�, <br /> PROJECT ADDRESS <br /> ll��G��'���'10.L – ►.�c�'�.��ct� — `�–X i� – <br /> Owner Mail Address Gty State/Zip Phone <br /> l <br /> Tenant Afail Address City Slate/Zip Phone <br /> (-�1� �I�e�...}y-t�, IZ� �2��' �'�, ��to� l�Jci < <fU"z�D SC��C�G�53— <br /> Eleclrical Contraclor M11ail Address Cily Stale2ip Phone <br /> �v <br /> r1 i�.��-C-�6�N /� .__ .�v� � <br /> Slalo License Number Contract Price of Work <br /> � f=_ � . St"�V� -c'_f��'� �33 � � ��-- <br /> Proposed Usc of Building Conlacl Person (Plan Review) <br /> Description of Work lo�c Dmie: ��'-+�� U� /�"�� a 1��Lu���L� \ti2 <br /> 1�y-{!-t� �v�•� 1 <br /> NOTE: W IRING IN NON-DW ELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereGy curlily ff���f 1 fiave read and ez�amined this appliwtion and kno�v Ihe same to be t ue and <br /> co�rect. All provisions o/fa�vs and ordin�vices govemmg this fype o(�rork will bo complo!ad <br /> n�hether speafied herein ornoL The�ranting ol a pe�nnt does not uesinne fo give aull�onfy fo <br /> violafe or cancel`(lie provisions o!an �all�er state or local a�v re�u�nting construc6on or the <br /> perfomiance o/c�nslnicfiwi-Stm arn eufho�iz�y fh ouner o/fhis properly fo perfonn Ihe <br /> �vork lor�vhich apolicnfion is rn��d :ind 1 comp y �vith fhe Stafo Contractors Law 18.27 RCW nnd <br /> 29G,200 WAC. � <br /> �� �' <br /> _-� _ '. � �`�j� — - � I —�l --z � � <br /> Sinnalu,e Dale <br /> y( // �� / <br />