Laserfiche WebLink
,_� ; _ <br />� -��. � <br />PROJECT ADDh'ESS <br />Owncr <br />Tenant <br />` � �' <br />_ , +�� � �' <br />Electrical Con(ractor <br />ELECTRIC�L PERMIT APPLICATION <br />CiTY OF EVERETT PFRMIT SERVICES <br />3200 CEDP,R STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everetlwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />, <br />� �/_. ��;�..� <br />Ataii Address <br />P.�ail Address <br />C ��, L', <br />Atail Address <br />� <br />`��7'� � � <br />c <br />Cdy <br />City <br />�j 5-0� <br />/'� ; �;,� � � <br />l � (', ��t' !� / <; ._C-� <br />StatelZip <br />Slate/Zip <br />, <br />�i/r(, <br />Slate2ip <br />Phone <br />Phone <br />L 7L% <br />Phone <br />�l2 � - y« � (�� <br />�� /� I f' LL �' C_ `%7:��j ;:�-'� Oz)J <br />State License Number Contrac Price of Work <br />'� <br />J�� ��Y��c <br />Proposed Use ot Building Contacl Person (Plan Review) <br />' � / <br />i / <br />Descriplion of Wor �o Be Dona <!..', /r'�l �li,ftL- L� y,v,yY, e�.0 i�-, / /%'�-/� <br />/ ` ' <br />_.%- t <br />c.,l.-�,� /.�',�z:.�.-i— <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TnX CODE IS 3105 <br />I herehy ceriily (haf 1 have read and e,amined this application and kno�v fhe same to be true and <br />correcf. All provisions ol/aws and ordinances govemmg (his lype oI �vork will be cornplefed <br />�vhefl�er speci6ed herein or not. The granting o/a pennd does not presume to give aufhonry fo <br />violate or cance/ the provisions of any ofher sfate or local la�v regulating construction or the <br />performance ol consfruction. That 1 arn aufhorized by fhe owner o/ Ihrs property to pedorm the <br />work Ior �vhich �pplica(ign is made and 1 comply wilh Ihe State Contracfors La:v 18.27 RCW and <br />296.2001h'AC.f \ <br />Signature <br />, <br />0 <br />" � ;-c:��� <br />ll <br />FEE <br />� <br />'�C'� �, <br />� �� `1 <br />