Laserfiche WebLink
ELECTRICAL P�RMIT APPLICATION <br />CITY OF EVEkETT 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 - DEBlT & CREDIT CARDS ARE NOT ACCEPTED <br />G8C�1 Cs�-c:����1 ��vr- <br />PROJECT ADDRESS <br />� <br />��'j' C Y,...� j"���E��,x —���c� �=.,�>�-�a--� lt��c�.�iB2��e ��75Zt%��lr�i�i <br />Owner Mail Address Ciry State2ip Phone <br />Tenant <br />Mail Address <br />City <br />Stale2ip <br />Phone <br />vR\"tlC�i �\�'��i�l`Y�c r.�"1\�I �1Si�.��.r' i�1F. 1-�.��ruc°��G �it�0..�i�(Z���' �12�����`J1l <br />Electrical Contraclor Mail Address City State2ip Phone <br />\1h(� t.�C-F I.'1�4��n(-� -- ���OC) v\ <br />State L��ense Number Contract Prir,e of Work <br />�QC-� ���.�� <br />Proposed Use of Building Contact Person (Plan Re�i v) <br />Description o( Work lo Be Done: � ��� � \ �-`-4�� `� �\C���� \Q� <br />NOTE: �VIRING IN NON-DWELLINGS IS REQUIREC TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERF_TT LOCAL SALES TAX CODE IS 3105 <br />I hereby certily fhat 1 have read and examined lhis application and know the same fo be true and <br />correcL All provisions of laws and ordinances governmg this type o/ werk will be comp/eted <br />�vhether specified herein or not. The granting o/ a pernnt dces not resume to qive authonty to <br />viclate or cancel the provisions olany other stafe or local �aw reguPting consfruchon or the <br />peAormance o( construction. 7'hat 1 am authonzed by the owner ol this propeRy to perform the <br />weik lor which application is made and I compty wifh fhe State Contractors Law 18.27 RCW and <br />296:2Q0 W'AC. <br />\ `- \'. „ c . � c��f....� ' `c�'� 'J �\ � \ �i� <br />FEE <br />E O�SU2 -051 <br />