Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 /� -aa'�� <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.urg � Q g�D` ��D <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> �/�' �:���� �� �. <br /> PROJECT ADDRESS <br /> � �Dl�v� <br /> /���� ,�G "i � �/OC� ��Y19�— �� 'i2�f� ���U � 'S��?���i`-7/�� <br /> Owner Mail Address Ciry StalelZip Phone <br /> Tenanl Mail Address Cily SlateiZip P��a�e <br /> �J��-",(!»' -,�i�, � �0 L�-�;�l h���.t�s�� i � �r''��/� />,� ��z.� � <br /> Electrical Conlrec r Mail Address C�ry State2lp Phone <br /> � � � ��f6 v <br /> ���� /n//� � /b�l� � � <br /> S�ale License Number I Contract Price of Work <br /> .;�1�� <br /> � <br /> Proposed Use of Building Contacl Person (Plan Review) <br /> i <br /> Oescription of Work to Be Done: ��� /�� �D�C`��' L'lf ����" � �/��f� � <br /> � %��7C _ <br /> IJOTE: 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 /> I hr.reby certily that 1 have rcad and exarnined fhis applicalion and kno�v the same lo be true and <br /> correcL All provisions o//aivs and ordinances governinn this type uI work�vi116e complefed <br /> whelher specdied herein or noL The granting ol a perniit does not resume fo give aufhority fo <br /> violate or cancel fhe �rovisions ol any ofher state or local law reguPting construction or fhe <br /> performance o/cons��uction. That 1 arn aufhorized by the o�vner o/fhis property fo peifom�the <br /> work lor which application is made and 1 co nply wilh the Stafe Confractors Law 18.27 RCW and <br /> 2962001NAC. / <br /> 1� / l�, �C , /� -.�.,'�C �' ,�� <br /> S� nature � Uate <br /> r' <br />