Laserfiche WebLink
�LE�TRIC.AL PERMIT APPLICATION <br />CI�'Y OF EVERETT PERMIT SERVICES <br />32U0 CEDAR STREET, EVERETT, WA 98201 <br />�i25-257-SE i 0 - FAX 425-257-8857 — www.everettwa.org <br />s -ao-o S <br />� n S� S— I I�j <br />APf'LICATIONS ARE ACCEf'TED FROM 8 AM TO 4 PM - DESIT & CREDIT CARDS ARE tJOT ACCEPTED <br />��z(,^ l_C,��LIj j <br />PROJECT ADDRESS <br />�v�(?k1T f�lillSi�� <br />Owner <br />l"enant <br />AuTiiCat i Pli <br />Mai; Address <br />F.1ail Address <br />City <br />City <br />State/Zip <br />StatelZip <br />Phone <br />Phone <br />Rc��c��4 ELF�r� IC ,AIC. p(, Px;� tu8 � i_A kES�EVEt�t15 �,vA �1� L58 �l-z�' 3�t 7 S�JG�S <br />Electrical Conlraclor Mail Address Ciry StalelZip Phone <br />�-?a� ���:) � � E� 1 '- j `�1 � �t� T <br />Slale License Number <br />ti�,u�,� �N,��y �>������.Icr <br />Proposed Use af Buildi g <br />Descriplion u( Work to �e Done: �'�� ������i <br />NOTE: WIRING IN NOfJ-DWELLINGS IS REQUIRED TO <br />8E IN RACEWAYS. MC OR AC CABLE. <br />CITY OF EVERET'T LOCAL SALES TAX CODE IS 3105 <br />Contract Price o( Work <br />Conlact Person (Plan Review) <br />I heieby certily Ihat / have read and examined this applicafion and kno�v fhe same to be frue and <br />correct. All p�owsiors ol la�vs and orAinances go��ernmg this type ol work will be cornplefed <br />whetl�er speci/icA herein or not The r�r�nting oI a pernut does not resume fo yive authority to <br />violafe or cancel the provisions o(any other state or lucal la�v re�uPfing construc(ron or the <br />peAorntance o( construction. That 1 am authorized by fne ownei oI this properiy fo peiform Oie <br />work Ior which application is nmde and I comply �rdh fha Stafe Contrnr.tors Law 18.27 RCW aro <br />296.200 WAC. <br />FEE <br />.�� �Z- <br />�,:1� —�i' � C�- <br />. <br />