Laserfiche WebLink
IZ — ° 3 -� <br /> 7 <br /> ELECTRICAL PERMIT �►PPLICATION <br /> CITY O� EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - F/�X 425-257-8857 -www.everettwa.org <br /> APPLIC.4TIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT& CREDIT CARDS ARE NOT ACCEPTED <br /> �C,'LI `� C��('i_Ti� R,lAtl. l.i.�l� � l.�Iv �T (' <br /> PROJECT ADDRESS <br /> I��IViv� �`, C Ni '��h!? ��',`iici "i �!'TH `>C �1v�1F��.1��,1`it� L1,�� `i'`.�,��15 <br /> Owner Mail Address City Slate/Zip Phone <br /> {, _ <br /> Tenanl Mail Address Ciry Slate/Zip Phone <br /> i <br /> i�,�tiN C�Tf�lCl�v�• 1'c ; �x it;�, �'� ����t� � -��! �;,:r,l�: ��;1� �i`�zSS ' �Iz�l=�t7 ���5 <br /> Electrical Coniractor tJ�ail AAdress Cily StatelZip Phone <br /> ��11�5�N�3 `"�"��J11�-: <br /> S�ate License Number Coniract Price of Work <br /> IPropo ed �e of Buildiny Coniact Person (Plan Review) <br /> Description of Work to Be Done: I��� ������� �������r <br /> .� <br /> WOTE: WIRING IN NON-DWELLINGS IS REQUIRFD TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> �� c � <br /> � , <br /> iCITY OF EVERETT LOCAL SALES TAX CODt IS 3105 <br /> I I hereby cerfily that 1 have read and examined this applicafion and l:now fhe same to 6e true and <br /> ccrrect All provisions ot laws and ordinances governmg this type ol�vork will be completed <br /> � whelher speci(ed herein or noL The�ranting ol a pernut does no( resume to give authonty to <br /> � vio/afe or cancel the provisions olany ofher s:ate or local la�v n;7uPfing consfruc6on or the <br /> � performance o/construction. That 1 am authorized by the owner oI fhis property to peAonn the <br /> j work for which application;s made and I comply with fhe Sfate Confractors Law 1827 RCW and <br /> i; �I 296200 WAC. � <br /> I <br /> II �-;' , �� 1 � I1 C � <br /> Signature Date <br /> �GS ( > 'D(nS <br />