Laserfiche WebLink
ELECTRICAL PERIIdIIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES ��la �-�! <br /> 3200 CEDAR STREET, EVERETT, WA 98201 / g — I/� <br /> 425-2�7-8810 - FAX 425-257-8857-www.everettwa.org l: I/D <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> jJ � I-l-�.��- ��,o �.��-�� UJ A- �SZC� � <br /> Pt20JECT A DRESS <br /> 3�� � � << e I � �� C�-� w�- ��zo i (z��s�,. v�, <br /> Owner MallAddress Ciry SWte2ip Phone <br /> Tenanl Mail Address Ci(y Slale2ip Phone <br /> Electrical Conlraclor Mail Address Gly Slaterip Phone <br /> Slale License Number Conlract Price of Work <br /> C4 <br /> Proposed se of Building Conlact Person (Plan Reviow) <br /> Description of Work lo Bo Done: M� ,J�Y'U�{'o �e �O �" W Cb✓µ-Q� o� <br /> 1/���I A�'i V�C n b` OV?��-'t G Y�CV ,� .�a✓� �C�i +'��_ <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 applicafioqand know the seme fo be We and <br /> correct. All provisions u(laws and ordinances go��ming this ipe o(work will be completed <br /> �vhether specified herein or not The granting o(a permd does nof presume to yive aufhonty fo <br /> v�olatoorcancelthe prov(sionsofan}�othersfafeorlocallawregu/atingconstvctionortha <br /> peAormance o(construcfion. That 1 am authonzed by fhe owner of Ihis properly fo perform the r � (0�—� � 3 <br /> work/or which application Is made and 1 comply with Ihe Stafe Con(ractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> L O^ � _ <br /> Si alure D,:le <br />