Laserfiche WebLink
t <br /> ELECTRIC�L PERMI`T APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEGAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—ww�.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT&CREDIT CARDS ARE NOT ACCF.PTED <br /> iS/s G��..-.�„�� <br /> PROJECT ADDRESS <br /> �ev�c� Eh��✓� �Sis G�,.� hG,-� ��-��-c7 � y2szsz-z8 � <br /> Owner � Mail Address City Slate2ip Phone <br /> Tenant MailAdd�ess City State/Zip Phone <br /> •cr� E/,�c�'� S�D �i/ST i�� /�2= �� ,ll �`1 YZs��ds Y s <br /> E�eclr al Contraclor Mail Address City State/Zip Phone <br /> ,�.��-rT� � �6� �n� <br /> Slate License Number Conlract Price of Work <br /> Proposed Use of Building Contar,t Person (Plan Review) <br /> Description of Work to Be Done: S-CG�v/'C � L� <s�z -P <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 certily that 1 have read and examined this applicafion and know fhe same to 6e true and <br /> correct. All provisions o/laws and ordinances govermng this fype of work will6e completed <br /> whefher speci�ed herein or noL The granling o(a permit does not presume to give aufhority to <br /> violate or cancel fh��provisions ol any other state or local law regulating construction or the <br /> per(ormance o/consfruction. That 1 am auNiorized 6y the owner of this property to perform fhe <br /> work lor which a 'cation is made and 1 comply with the State Contractors Law 18.27 RCW and <br /> 296.200 W . <br /> 2 /(�� � �i�Z� �� <br /> Sic�nature Dale <br /> �0,5�6 -I 5 2 <br />