Laserfiche WebLink
T <br />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 <br />Sc C/_Ua2LT> <br />PROJECT ADDRESS <br />f)LQ(!) �'Ru P /c��st �1 lul 11U57 : •-L <br />Owner Mail Address City Stale/Zip Phone <br />W CS i 1 �171r'il I`�Clz<A1C� �!'�i'L '/ 1= 2r-'� r/rSSU �icl2u.i-L �U�yl/I 0/ / 1Ulu t_�U U/(d �1'SZ�S <br />Tenant Mail Address City Stale/Zip Phone <br />ff YES--776 <br />C 61 l�itc20t_5�SL1 ctic1.2c7T Lcu9 �Ss'3S— <br />Electrical ntraclor Mail Address City Sl3 <br />te2ip Phone <br />Slate License Number Contract Price of Work <br />77A 14412Lle KIiti 14 L( k' `I — <br />Proposed Use of Building Contact Person (Plan Review) <br />Description of Work to Be Done: / u G- l !q L, L Z3 67� tl e L LL';'1 IV/ 6z kJ <br />5/C_4 zl CJ�0_jt L,i r0 c,X 1 Si7. 6- C` /6 C L( 1 rS <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 <br />1 hereby certify that I have read and examined this application and know the same to be Ime and <br />correct. All provisions of laws and ordinances governing this typo of work will be completed <br />whether specified herein or not. The granting of a permit does not presurne to give authorityto <br />violate or cancel the provisions of any other state or local law regulating construction or the <br />performance of construction. That 1 am authorized by the owner of this property to form the <br />work for which application is made and 1 comply with the State Contractors Law 0e7 RCW and <br />296.200 WAC. <br />Signature Date <br />P:o6c)5.1Iq <br />