Laserfiche WebLink
( • <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM -DEBIT R CREDIT CARDS ARE NOT ACCEPTED <br /> 1 (c 7 � 1-��� � �rr' AV� <br /> PROJECTADDRESS <br /> Owner Meil Addrass City Slate/Zip Plwne <br /> �Ju g W R� � (oZo �,w�T( /aYE �Vr�k�cE[T �/.) 1� <br /> Tenant Mail Address Ciry State2ip Phone <br /> �/A�y ��C7R,� � �do r�E��,� �►� p�r �� <br /> EledriCal ContreClof Mail Addrass City StatalLip Phone <br /> �'� vA�i.�EG 14-1 t�l� ,�''Cj — <br /> State License Number Contrect Price of Work <br /> Proposed Use of Building Contacl Person (Plan Review) <br /> Description of Work to Be Done: �� � 1� �� � �� � � � r 1 I <br /> CIRCU � % <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> C�TY OF EVERETT LOCAL SALES TA%CODE IS 3105 <br /> 1 hereby certi(y fhat!have read and examined this application and know fhe same to be trua and <br /> correct. All provisions o/laws and ordinances gaveming thls lype of work will be complefed <br /> whetherspec�ed herein or not. The granting o/a permd does notpresume to give authoriry to <br /> violate or cancel the provisions of any ofher state orbcallaw reguleting conshuction or fhe <br /> peAormance of construction. That I am aufharized by the owrrerol fhis property f�perlorm the <br /> work/or which application is made and I comply with fhe Stafe Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> �'���� �z,�.�- y- q -o� <br /> SignaWre Oate <br /> .Ec��l�4-04 S <br />