Laserfiche WebLink
ELECTRICAL PEhMIT APPLICATION <br />GITY 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 />�c � 1 io G��-t r�rt�'� �V�. <br />PROJECT ADDRESS <br />7—a5�7 <br />Ca �D�-aEr <br />j ,1 k 2�(c•�/-O' 0107`� <br />r�,�-!fis '��'.�/� �a�2(v LA,Hr�I�� �t+�e C'U��F �;' N/A �103 <br />Owner Mail Address City State/Zip Phone <br />Tenant <br />Mail Address <br />City <br />Slate/Zip <br />Phone <br />s�H�vE,�ae E�-izr��. z3os�V, i7�%"s�, s����,tiE w;�? ZoG •4l3 569� <br />Eleclrical Contraclor Mail Address City State/Zip Phone <br />SCHNE"EIo� 4Lc �/��1� <br />State License Number <br />,�Es� ��NCE <br />Proposed Uso o( Building <br />`� �v,Soo <br />Conlract Price of Work <br />Conlact Person (Plan Review) <br />Description of Work to Be Done: �/i�S%!ft-(- /} �ZJff S �a l�f�tL %�� /N�� LL /V�1'V <br />0 <br />C�� <br />NOTC: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CA3LE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />LiN<v �� �{'V/Z <br />I hereby certily that 1 have read and examined this applicafion and know'he same to be Vue and <br />correct. A/l provisions o/laws and ordinances �oveming fhis type ol work will be completed <br />whetherspecihed herein ornot The grantiny o/a pernut does nof presume to give aufhonry to <br />violate or cancel fhe provisions o(any other state orlocal law regulatin� consfn�ction or the <br />performance o/ construction. T.hat 1 arn authodzed by the owner ol this property to peAorm the <br />work (or which applicafion is made and 1 compty wilh fhe Stafe Confractors Law 18.27 RCW and <br />79R200 WAC. <br />FEE <br />��A <br />G O"10 �1 - � �c� <br />