Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br /> CI1"Y LF EVERETT PERMIT SEF:VI�ES <br /> 3200 CEDAR STREET, EVERETT, WA 9fl201 <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org <br /> APPLICA"fIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT& CREDIT CARDS ARE NOT ACCEPTED <br /> ��Z� �t= E�IcUC� V�1�AI� �,Udu <br /> PROJECT ADDRESS � <br /> �� �2� �F k�ere. Ma�� bJdu �'�e,��� (�G Q�Z08 ��ZS� 25� -7 c� l <br /> Owner �- MailAddress Cit StatelLp Phone <br /> � i}-rv1 L 61 S �}-i'a�!E <br /> Tenant PAail Atldmss City ` StatelZlp Phone <br /> I� �m ��ar�Yi� J 7�J /Ym'Cc %/Y���G (/i/4' /(�/✓J IZ�v� /�3'32 l <br /> Eledrical Contractor Mail Addmss City State2ip Phone <br /> ('rx�f ei���s�� � `�� o 0 <br /> Sta e License Number Contract Price of Work <br /> �� <br /> Proposed se of Building Centact Person (Plan Review) , <br /> Description of Work to Be Done: ��-s S �Zf // 0'O��s� �C� �-/ta,4� �o��� Gii�C-r_�'e1-� ' I <br /> Tc / �Lt LL� �� L�f ��/�J.���. �. <br /> NGTE: VVIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> �� �y oo �, <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 he�eby ceRily tha(1 have�aad and examined Ihis applicafion and knav fhe same fo 6e Irue and <br /> coriect. All provisions o/laws and ordinances governmg this fype ol�vork will be wmpleled <br /> whether specilied he�ein or roL The g�anting of a pernut dnes nof prasume to give authoiity(o <br /> violafe or cance;fhe provisiors ol any ofher state orlocal law regulafing ronslr�c6on or fhe <br /> performance ol consfruchon. That I am aufhonzed by tho owner of Uus pioperty to peAorm the <br /> �vork Por�vhich application is made and I comply�vifh the Stafe Confracfors Law 7827 RCW and <br /> 296.200 WAC. <br /> ��.Udy! i�9.GlG���1%^ �2'� � <br /> SignaWre Date / <br /> � 1� <br /> ���' <br /> i <br />