Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 p <br />425-257-8810 - FAX 426 ""'?-8857 - www.everettwa.org O���� "a y <br />APPLICATIONS ARE ACCEPTED FROM 3 AM TO a PM <br />C� 0'7 5 r��- Nt�f I w� S n� � Z 9 <br />PROJECT ADDRESS <br />fzob�,�s a <br />Owner <br />��sab�l i <br />7enant <br />.d '"I <br />Electrical ConL-aclor <br />Address <br />hlail Address <br />2��� PlN� <br />P.1ail Address <br />��,c_" M ��,=,�� 07� J t <br />State License Number <br />� �-Fl �.2 J S�AitlL_ <br />Propased Use of Building <br />Descriplion of Work l0 6e Done: <br />City <br />-rfd.in.t.c <br />City <br />�, w�-. <br />City <br />�.t Y <br />State2p <br />Slate2ip <br />Slate2ip <br />(,--o �08-�03 <br />�soo .� <br />Contra�t Price of Work <br />3S3 - eyw <br />>�`� �'�" <br />Phone <br />�-- <br />Phone <br />S2- 9�fv 7 <br />Phone <br />ConlactPerson (Plan Review) <br />' [ � o�.=:.%. � <br />-�r l' •.. <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE !N RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3 i05 <br />1 here6y certi/y lhat I have read and examined this application and know fhe same to be frue and <br />correct. All provisiuns ollau�s and ordinances govemmg this lype o( work will be completed <br />whether specified herein or not. The �ranting o/ a permit does not resume to give authority to <br />violate or cance/ the Provisions of any otber state or local law reguPting construction or the <br />pedormance o/ construcfion. That I am authon:.�d 6y the owner of this property to perform the <br />work lor which ap��ication is made and 1 comply with the Stale Contractors Law 18.27 RCW and <br />296.200 WAC. <br />B-i3-v <br />FEE <br />Ed7U�-(0� <br />