Laserfiche WebLink
ELECTRICAL PERMIT APPLIC�4TION <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 <br /> l� �'' �� G �.I��JU <br /> PROJECT ADDRESS <br /> '� � :LS L, u�.� �t� �S Z <br /> � � .� �)�,:-�/ .� ��3iL G 5� 6 �,« L�l R�r4�j7r't�� <br /> � �`•~=` � State2ip Phone <br /> Owner Mail Address City <br /> ��2 Phone <br /> Tenant <br /> Mail Address Ciry Stale2ip <br /> C N� phone <br /> Eleclrical Conlraclor Mail Address City <br /> StatelZip <br /> Contracl Price oi Work <br /> Slale License Number <br /> ,5/!� C L� /iti/� �� ` �C �"1-/ Contact Person (Plan Reviee�) <br /> Proposed Use of 6uilding <br /> �'')i�Ov � tiR2�C1 (_t-hi�/ <br /> Square Footage(If residenhal new conslruclion,remodel or addition) <br /> Description of Work lo Be Done: 2�'t-� I ` "��1 � <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. I �DJ <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby ceRily that 1 have mad and examined this application and know the same to 6e Inie and I (� <br /> correcL Al/p�ovisions o/laws and ordinances govemmg this typo o(�vork wrll be.complefed �, I ZI D � V v� <br /> I e�hefher specified herein ornoL Tho g�anhny ol a pemid does not presume fo grve aidhonty fo <br /> violate orcancel fhe provisions o/any olhersfate orlocal lan�regulabng cansfruchon orthe <br /> peAonnance o/consWchon. That 1 am authonzed by the owner o/t6is property fo per(omi the <br /> �vork(or which application is made and 1 comply�vdb thc Sfafo Confractors La�v 18.27 RCW and <br /> 296.2 WAC. <br /> � �� - /S -�J� Z <br /> 1 C���c�- L� ;�1.� <br /> Signalyr � Date <br /> / <br />