Laserfiche WebLink
ELECTRICAL P'ERMIT APPLIC�TION <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 FROAA 8 AM TO 4 PM <br />�l` � EUEYC7'� Hu�G �"°f �!/FYEtf�t�.Q 4'fl�a� <br />PROJECT ADDRESS <br />2��3—�3 <br />G13Qz_�,; � <br />1{O�A✓h T�.�kElsa.✓ Pa�982/G �ukC-�✓sa�% r..n 9gyq6 �5.1-�iaC-O: <br />Owner Mail Address Cily Slate/Zip Phone <br />p��avssa„EtN;,v� �I��EVEYE7l .NOLGG✓OY �uf,•FfF ua 9fs2oy y�s-�c��qi3 <br />Tenant MailAddress City . State/Zip Phone <br />OWNE� <br />Electrical Contractor Mail Address <br />State License Num6er <br />Proposed Use of Building <br />Square Footage Qf residential new conslruction, remodel or addition) <br />City <br />StatelZip <br />Conlract Price of Work <br />Conlacl Person (Plan Review) <br />Phone <br />Descriplion of Work lo Be Dane: %� � n P HE��q E uG� ,E.�'/ f .S� � N a l3 U UE �O�YS _ <br />a ,vl� s fn; �'S <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE. �C ��[� <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 , <br />I hereby ceAify fhat 1 have read and examined fhis applica(ion and know Ihe same to be true and <br />correcC Afl provisions of laws and orrfinances goveming Ihis type ol woilc wil! be campleted � <br />whefhe� specifred herein ornoL The granling ol a penmt does not presume lo give aulho�ity to �� 7�L1 �� JC � <br />violale orcancel the provisions ol any ofhersfafe orlocal !aw regulafing conslnicfion orfhe � __� <br />peAormance ol construction. That f am authonzed by Ihe ownerolthisp rope�fy (o perform the <br />wo�tc Ior which applicafion is made and I comply wi(h the Stafe Confractors Law 18.27 RCW and <br />296.200 WAC. <br />�� 2 - /� .?a/ <br />