Laserfiche WebLink
ELECTRICAL PERMlT APPLICATIO[� <br />CITY OF EVERETT PERMIT SERVICES � <br />3200 CEDAR STREET, EVERETT, WA 98201 a— I� D <br />425-257-8810 - FAX 425-257-8857 - www.everetlwa.org �. ��pZ �O�Z <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />� l 1 �-�-s.-sz� <br />PROJECT ADDRESS <br />C:1-lE_a� � `�.�n�cN ��� t:;�c^�,-_ C�.—�r—� � <br />Owner Mail Addmss City Stale/Zip phone <br />Tenant <br />:=x-�, +v. C— <br />Mail Address <br />Cip� <br />Slafe2ip Phonc <br />�PDr_ 1-srr- �_L-.c �o:=,� �.n���r-t-. _S.,.a U,-- V"'� �da�,� y2S-3i=-t—l��.-, <br />Electrical CoNrector Maii Address Ciry State2ip Phone <br />,-'�=f=_„"� I_c-. \�� \ C`.5__- <br />Slate Licenso IJumber <br />Proposed Usc af Building <br />—o o `?-- <br />Coniracl Price of Work <br />Con�acl Person (Plan Revimv) <br />Doscri tion ot W ork to 6e Done: � `— <br />P ���.: �_=— ���.v � c�.G_. <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 />I hereby certiry fhat I have read and examined this applicalion and kno�v the same fo be true and <br />correcL All provisions ollaws and ordinances goveming fhis type o(work wil! be complefed <br />n-hefher speufied herein or noL The �ranfing of a perm;t does notp resume to give aufhority fo <br />violate or cancc/ fpe provisions o( any ofher state orlocal la w regulefing consfruclion or (ho <br />perfomiance o( construcfion. That I am authonzed Uy the owner ol flus property to pedonn the <br />work (or �vhich applicalion is made and 1 comply with fhe Sfate Confracfors La�v 18.27 RCW and <br />296.200 WAC. <br />� \ ��. _ _ . � _ - � - �. �> <br />���� ;, _ �� '_ <br />