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 � _ .� �,V� <br /> C_� ��c� 6- ►yn <br /> r' /; � <br /> il� JL� L_V�'/�1�. ) l /�l� �� ./1/A i/ <br /> PROJECT ADDRESS <br /> ;. y�;-<<� ; <br /> /r � ,- n ,_..�_. �, , � � � � ,- , , ,�� ,., <br /> Ji�F)h�� l�Ir"J2.Sllfi�� ��� J� �ZL1c.C-11 I l. �/� f��� � C�Fc.4'f., l � (-� �� j00 � <br /> Ovmer MailAddress City State2ip Phone <br /> ^ �1�_�'��� <br /> �,!�E7h�l'.'r�51� ..��IC:1� �JGJ)/��:15 //% �: fdfi;;:� !���.;/� l./Ci^ �q�'_Pi�7 /f�� �00�' <br /> Tenant ` Mail Atltlress Ciry Slate2ip Phone <br /> �?.:�.t F�<� ���_��' �f�l�ci�l?.Sj /.t,�C. �)�yZ L.F.�'�aOIJJ� L�A I F/��� �Vn-�r':� �l���0 <br /> Elettntal Conlractor Mail Address Ciry Stale2ip Phone <br /> :�_ �,a "' f � <br /> r7rIF" ��iE�J �%X ` l� c�� • <br /> State License Number Contract Price of Work <br /> O��F�� ,: F ,J;>1, �; �J���,n � <br /> Proposed Use of Building Contact Person (Plan Revlew) <br /> DescnptionofWorktoBeDone: � ��Nr'�f� �LCrT1�lr'.fv' �_ ,SjJ�)-� � �\���57)��l� <br /> r ��Z�_U ;-�� . � <br /> � <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 I5 3105 <br /> I hereby certi/y fhat I have read and ex�mined fhis applicafion and knav Ihe same to be true and <br /> correcL All provisions o!laws and ordinances govemmg this type o/work will be compleled <br /> u�holher specilied herein or not. The granfing ol a permd does not presumo to giv�authonty fo <br /> violafe or cancel(he provisions ol any ofher sfate or local law regulafing constnic6on or fhe <br /> peAormance of consfruchon. That 1 am aufhonzed.by the owner o/fhis property fo pedonn the <br /> work!or which applicafion is made and 1 comply�vdh fhe Sfafe Con(ractors Law 18.27 RCW and <br /> 296.200 WAC. � / I � <br /> , �. , � �-1 <br /> ���P yi� -,, �. -�-� ����_�, ��� , ����, <br /> .. n��_ , <br /> Signat ire Dale <br /> U <br />