Laserfiche WebLink
ELECTRICAL PERMIT APPLiCATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX425-257-8857-vwvw.everettwa.org <br />(� - 17-�'i <br />APPLIGATIONS ARE ACCEPTED FROM 8 AM TC 4 PM <br />cc��'6 Ib� <br />2.�j\D \L�i.�c� �ic:v� <br />PROJECTADDRESS <br />���o �.^�S 26\4 LDx�i �^ Qc ��.'R�Y � �i�Zc�� <br />Owner Mail Address Ciry StatefZip Phone <br />Tenant Mail Address City S�ate(Lip Phone <br />yzs <br />Y-�� � G �a o�c�c \��\y �"�a �Ac�,� ��� �.���S.13� 3�\-zl.oZ <br />EletVicalContf3dor MailAddress Ciry StatefLp Phoce <br />_ i�LCF 1 C�+r ��n QC� _ �'1S� - � <br />State License Number Contracl P�ce of Work <br />!�l`(Zi�:� �i � �V �«��': �� � � <br />Proposed Use of Building Contad Person (Plan Review) <br />Desaiptlon ot Work to Be Done�. <br />c-���. � � <br />3 0 -�. �P �tOo.,,_. � — <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CAHLE. <br />CITY OF E4ERETT LOCAL SALES TAX CODE IS 3105 <br />y certily (bat 1 have read and examined fhis application and knav fhe same to 6e true and <br />. All provisrons o/laws and ordinances goveming Ih�s t�e ol vioifc will be a.nplefed <br />v speci(ed herein or noL Tfre granting oI a permd dces not presume to give authonfy (o <br />or cancel the provisions ol any other state or Iceal law regulating constmction or the <br />��3nce o( construcfion. That 1 am aulhonzed by Ihe owner o/ th�s properry to peAorm the <br />n whrch app6cafion is made and I comply wilh fhe State Controdas Law 18.27 RCW and <br />FEE <br />3t <br />� <br />� �70� I(� 3 <br />