Laserfiche WebLink
ELECTRI�:AL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICtS <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 8 CREDIT CARDS ARE NOT ACCEPTED <br />�rSlL f-/ius�DE �.��E <br />PROJECT ADDRESS <br />�7tv� ; L'�ll�DcE�^l c�SIC� f;I�LSID� !�r'E EvEi�'i w'A 9�r.�o3 <br />Owner MailAddress City�M� � 4�y ���ip��fr2 Phone <br />Tenant <br />Mail Address <br />Ff Li"�L OwN �-- <br />Elechical Contraclor Mail Address <br />State License Number <br />Proposed Use of Building <br />City. <br />Ciry <br />CEu.. `�' 4�S 35�i �39! <br />Ptaie2ip <br />State2ip <br />Contract Pri�a of Work <br />Contact Person (Plan Review) <br />Descnpfion of Work to Be Done: _; lln� �": �; I��. -��r. ;�1 `7� �'- ���� ^� ��— /N� 'LG"� <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, ,Y1C OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certify that 1 have read and examined this applicaticn and kno�v the same to be true and <br />c�rrect. All provisions o/laws and ordinances govemmg this type of work wdl be completed <br />�vnether specif�ed herein or not. The gr.�ntins ol a permrt does not presume fo give authonty fo <br />violate or cancel the provisions ol any other state or local law regulating construc:ion or ihe <br />peAormance o/ construchon. rhat 1 am authoczed by ihe owner of ihis property to peAorm the <br />work lor which applicatron is made and 1 camply wdh the State Cuntractors Law 18.27 RCW and <br />296.200 I�VAC. <br />� ` !.% � � <br />:i 4 �/�� S'/lc oy . <br />FEE <br />Ed�{o � -c;3�' <br />Phone <br />Phone <br />