Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION ��-OS-p <br /> CITY OF EVERETT PERMIT SERVICES E08�1`0�L <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 /> LPJI.�B <br /> `�,�_� i r �� r� iz.�Ti �:� �y" <br /> PROJECT ADDRESS I <br /> Owner Nail Address City Slate/Zip Phone <br /> ����L�o ..,�,v ��s 2 0 .� / . ��E iZ�iT �..'a ��.��'-%t !lq ��'zv/ <br /> Tenant Mail Address iry ,• Slate/Zip Phone <br /> / ��C Ni <br /> �ei l �� fc� '��t�Trztc Z3 �/4 `� .?c �s',Qv� � � - -�Tf1�A ���3Z Z �r: �;7�i'_zti(�� <br /> Geclrical Con raClor Mail Address City State2ip Phone <br /> �e� ec r , l �-� s�� �/ / 9 0�0 • Uc' <br /> State License Number Contracl Price of Work <br /> / r �� 1 <br /> �'sTti�ti2ii,v� ( �'.4t � /"�'� J <br /> Proposed Use of Building Conlacl Person (Plan Revicw) <br /> Description of Work to Be Done: ���`L���'� GX� t rr ti�y��y N ri /�.✓d <br /> �� � � . <br /> �� << �� �L��.J ����� r �� �sr��y ��.� ,n-�� L,�; !Ts �G�/�t/•--� <br /> �' <br /> ��i,u, ,�/. � ,.( �e� �� �- ,��� _sr���•. ; (z-� <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 !��(��� � _ �a� <br /> I I hereby certily flmf 1 have read and examine�i fhis application and kno�v fhe sarne to be Vue and LJ'J <br /> cormcL All provisions oliaws and ordinances governmg Ihis type o/wak�vill be comp/eted <br /> �vhether specdied herein or not. The�rantin�ol a permd does nof �eswne fo give authonty fo <br /> violafe or cancel fhe�rovisions ol any other sfate or local law regu�ting ca•s(n�ctwn or the <br /> peAormance ol construction. ThaJ 1 am authonzed by fhe owner ol this property fo peAorrn the <br /> �vork lor�vhich applicatio�`m e and 1 comp/y wifh fhe Sfate Contractors La�v 18.27 RCW anA <br /> 296.200 WAC. <br /> (� �� <br /> , / �/- US _ C,'� �� <br /> S�gnalure Date <br />