Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETf, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 -www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> IU SC LvUZ -L1T IvU1LL W/��,S,;,Tt r� �vcREiT W,� GY?l�i <br /> PROJECT ADDRESS <br /> �i�^�i c'i 1��;:L G' <br /> - W -�+;r-�`�,�r.0 iu sr- �v�=u.crr ->>in�� wny �vt��rr w� �i�c za f� -1zs.3�y. zzz <br /> Owner Mail Address City Stale2ip Phone <br /> r /' <br /> �C7,'Z��i�j� C9�G��1� !� fC c-1'L'7�'� i/�dG C[',�'l 1� t.. �r <br /> Tenanl Maii Address Ciry Slale/Zip Phone <br /> 5iLA� Sr1'✓f�T <br /> P�Py 'r =s�E� I(�2�2 Fb7 CV N�`� �F2'�`� P1iu�C�Ek— wA �I�SOI 4z533o•91b0 <br /> [lectricat Conlrector Mail Address Cily Slate2ip Phone <br /> ,3i3r.s i s � q`1 o n c;� `� ,�m= <br /> State Liconse Number Contract Price o(Work <br /> �(':771/l FR�N� �4NZ/.1 r-S <br /> Proposed Use of Duilding Contact Person (Plan Review) <br /> Descriplion of Work to Be Done: ��o o� t 1� �/CiL� 7� E K 1 S�,n/ � �� ��t7Z <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IiJ R,4CEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereGy certi(y fhaf 1 have read and exarnined fhis application and know the sarne to be true and <br /> correcl. All prov�sions ol la�vs and ordinances�ovenung fhis type o/work will be completed <br /> whether spea6ed herein or noL The granting ol a permd does not presume fo give aufhonty fo <br /> violate or cancel fhe provisions o/any ofher sfafe or local la�v regulafing consfrucfion or the <br /> performance oI corlstruciron. That 1 am authonzed by fhe ou-ner of fhis properiy fo perform fhe <br /> work lor which app i ation is made and I comply wilh the Sfate Contracfors Law 18.27 RC W and <br /> 296200 WAC. � <br /> � � 2 G � l l UZ U� <br /> s�� ,i���z oai � <br />