Laserfiche WebLink
:n`� — �181� <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT S�RVICES <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 />�, <br />r�SI ( �:�"J'l-1tJ6, v2 L-u�'�2� i7 (,J f1 �b' <o i <br />PROJECT ADDRESS <br />',iCl� •4��C�'l,yl5 ���I�i f`li�;�i �-,� �r�t� ��'i'�c�� , 6v�� �,��cl <br />Owner <br />� � ������� <br />Tenant <br />Mail Address <br />Mail Address <br />U' ����i11�' 41 �1�� Ici k� ��� �����' �I�- <br />Cily <br />Cily <br />y'(��� `,_,} 1tiC�v'i" , t� � <br />Eleclncal Coniractor Mail Address City <br />������1 �..�I l,' � i. ! ��J ��� � ��%(= <br />State License Number <br />� �S — �( ,c,, � <br />Proposed Use of Duilding <br />Description of Work to �e Done: <br />�! f�1 l�;,1.'1 �� I I. 1�l <br />Phone <br />SWIe2ip Phone <br />�, <br />�� ��i�' � ��'L ��1��� i� <br />Phone <br />'� l�: � r�. _` <br />Coniract Price of Work <br />Contact Person (Plan Review) <br />�1i'1����17�.�.1 �,�;LJ� �;�,._, ti ���� �,i��-�ti, ����c.b�; re �rr�c1L�-���;J <br />Y�l.l`j�Ilj � 1.` . <br />NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TA% CODE IS 3105 <br />FEE <br />�/�z.00 <br />I hereby ceriily fhaf I have read and examined fhis applicafion and know fhe same fo be We and <br />correcL All provisions o/ laws and ordinances goveming fhis fype ol work will be completed <br />whefher specilied he�ein or noL The granting ol a permd does nof presume fo give authonty fo <br />violate or cancel the provisions ol any other sfafe or local law regulating consfruction or fhe <br />perlormance ol conslruction. Tha( 1 am aulhonzed by the owner o/ fhis property to peAorm fhe <br />work /or which appiication is made and 1 comply wifh the Stafe Confracfors Law 7827 RCW and <br />296.200 WAC. / / ��, <br />� <br />.�o�/-� <br />��� <br />