Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 42�257-8857—www.everettwa.org <br /> ppPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> I 2� � Z C�1 i�,vlc'� �� • <br /> PROJECT ADDRESS <br /> Z�.z_. <br /> ��1p.,� ,,; L�ti'i�U' l3��i uJA�wV-�►.�i; "�3�d'J. ���r-r� �'7` � ��£�?l}���z'�z13Z.q <br /> :.�U�II:.!.�� _. S�alelLp Phone <br /> �ef Mail Address ��' <br /> ��, State2ip Phone <br /> Tenanl Mail Address 3.� <br /> �,, , � C�-�.�f�c{-t✓�-�; l v�. � . 3�0 -j3��� <br /> „c u.i-�v'tits �tc'c� i c <br /> City n�,y��tate2ip Phme <br /> Electncal Contrador Ma���`� L( I Vti)Ll Gi.vL� '���%� V� �� <br /> 1;, � h u;� �?�.3'� Y _ r .� (� -� � �.. � <br /> 5 i,L �l j� �✓l l� �% � N�� Conlrad Price of Warfc <br /> Stale License Number <br /> � � > <br /> ,�,lIV1 +..CL% ��'��- '7_.�. �%�'•`'_; <br /> �('/;�/ /�!"/�r : ��� ----- Contacl Person (Plan Review) <br /> Proposed Use ot Building <br /> T—� (� G:�� � (�l� .�i A��i,ri�. ! <br /> Desuiption of Wortc lo Be Done: l < < % � !` ( < �1 't i � l�� <br /> NOTF: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby coRiry that 1 have read and examined this application and know the same to be frue and J I���;3 — I 'J <br /> coned. All pruvisions o/laws and ordmances goveming this rype o/woric will be.completed �- <br /> whether speci(ed herain or not. The granfing o/a pertnd dces not presume ro grve eufhonty fo <br /> violate or cancel thepro visbns o(any other stale orfocal law ragulahng construdion or fhe <br /> peAormance o!ccnstru.cfion. That 1 am aufliorized by the owner o/fhisproperty to peAorm the <br /> �tivrk!or which app6cahon is made and 1 comply wrth Me State Contradors Law 18.27 RCW and <br /> 296.200 WAC. <br /> �--� �'LI I 1 O <br /> Signaturc <br /> Date <br />