Laserfiche WebLink
�� <br /> ELECTRICAL PERMlT APPLICAT�nf�l <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 — www.everetriva.org <br /> I APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - �EBIT& CREDIT CARDS ARE NOT ACCEPTED <br /> PROJECTADDRESS � <br /> . . i�- il.. l/- % i i( . . .�i _ i� . .` - <br /> c� �i � '�.+ <br /> Ownef Mail AdOress Ciry State2ip Phone <br /> Tenant Mail Address City State/Zip ?hone <br /> � �,, <br /> .�_ � �i- f ,. ���;� � y' • i' ; t %i// � JJ ' <br /> Eilectrical Contractor Mail Aadress Cdy State2ip ' Phone <br /> . ; r�, /- . i_ r -- .��� /� <br /> State Lcense Number Contract Pnce of Work <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work to Be Done: � %� '� . - ,- �� , <br /> � (�<' /;. ,,, /, .,, /, / <br /> I I <br /> NOTE: VlIRING IN NCN-C\NELLINGS IS REQUIRED TO FEE <br /> BE IN RACEb^dAYS, �1C UR AC CABLE. <br /> I I I I <br /> i CITY OF EVt:RETT LOC.AL SALES T.'ll(CODE IS 3105 I <br /> �heieby ceRily tha;I have read ano examined this application and know rhe same to be true and I <br /> I .,r.rrecL Aq pro�is�ons of laws and ordinances govermng this rype o/werk wdl he completed <br /> ..nether speciliad herein or noL 'fhe granting o�a permit does not presume to grve authonty to <br /> �;relate or cance�the provisions olany otier state or Iccal la�v regulatin_q construction or the i <br /> j ie�k(orawh ch appl cration rs ade and 1 ccmplyevith fhe State Cont ac7ors�awy 18.27 RCW and <br /> i �96.200 WAC. <br /> � � �/�. <br /> I i <br /> � : . ,��� ,� j��� �� <br /> ; Signature � �aie � " ) y I <br /> I <br /> ! I <br />