Laserfiche WebLink
ELECTRICAL PERNiIT APPLICATIO►Pd <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STP.FET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —�v�v�v.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> � ' ; _ _ <br /> �r � � �, �-1 .. I ; G <br /> PROJECT ADDRESS <br /> L ' . <br /> L ' <br /> �- /����v�C ��'L :V/�//: �O,'r- !/ — � ,. i � ..;i��. <br /> Owner Mail Address City Slate2ip Phone <br /> Tenanl Mail Address City StatelZip Phone i <br /> � <br /> � i' l . C� �.>_) � <br /> ,. � "�. . .' � . �. ':;_ �.. �., . � � �;';.. ?, T� ;��.�� <br /> � _ , �: < < � , .., � .,� �, I _ �i ; .� �:,,1< <,�.;i. C. <br /> Electrical Contraclor tdail Address Ciry StatelZip Phane II <br /> � _ I <br /> L �� �--' � < < I !' �� /` ;"f� <br /> Stale License N�mber Contract Price of Work <br /> �> l ! � <br /> Proposed Use of Building Conlact Person (Plan Review) <br /> Descriplion of Work to Be Done: i� " ��� ���- � %� � ��-��' ������'` � <br /> NOTE: WIRING IN NON-DWEILINGS IS REQUIRED TO FEE <br /> I BE IN RACEWAYS, MC OR AC CABLE. I <br /> � � <br /> CITY OF EVERETT LOCAL SALES TA7(CODE IS 3105 <br /> 1 hereby ce�iily fhat I have read and examined fhis application and know the same to 6e true and <br /> correcL All p�ovisions o(laws and o�dinances goveming Ih�s type ol work�vill be cornplefed <br /> �vhether spea6ed fierein or noL Thc c�ran(in�o/a pernut does not resume to give aufhority fo <br /> violate or cancel(he provisions o(any otlier stafe orlocallaw reguPting consfruction or fhe <br /> peAormance o/construchon. That I am authorized by the owner o/thrs properly to perform the <br /> work(or which application is rnade and I comply�tiith the State Gonlractors Law 18.27 RCW and <br /> zss.zoo wnc. G� <br /> � , �, <br /> � �' � - �i � ;'7 <br /> � . . . - ,.. ., ,. -- �. i <br /> � � �� <br /> / <br /> Sir�nolure Dafe � <br /> I <br /> '� __' — _ ,. . � ... . ,. _ <br /> a <br /> , f... � ..-� <br />