Laserfiche WebLink
t <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT 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 <br /> tlIl6 P�;�� r�, I� GcIA.�, L <br /> -, <br /> PROJECT ADDRESS <br /> ( Hl�s�,,, (��.,,, ����;�s �r. i3ioi � L�'` ti�cw1_;�,,,,,,, 1 �v�. yBo, 7 z,�c �zc �i�a� <br /> Owner Mail Address Cily � Slate/Zip Phone <br /> Tenant Mail Address City State/Zip Phone <br /> �/ttl'NGl� GL�L7�%• L �/O/.C- JI �i �.4Nt; 5(�11C.��S !�(14- y� zS� �71 3>(� 7�GV <br /> Electrical Conlraclor Mail Address Cily Slate2lp Phone <br /> cG <br /> ��,���n�� r. � ; ;�3 ✓� G S7 ou <br /> S�tate License Number Contract Price of Work <br /> �i�2 <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Descriplion of Work to �e Done: �,U,V�L /UC([/ Z 300 Ju j'i 5 h P LL� A S(�l;_(/i� t <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> DE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 � v�U <br /> 1 hereby ceriily fhaf!have read and examined lhis application and know Ihe same to 6e true and � � � Lik <br /> correct. All provisions o//aws and ordinances govemmg this type olwork will be complefed <br /> whefher speabed herein or noL The�ranting o(a perrnd does not presume to giee authonty to <br /> violate or cancel fhe provisions ol any o,her sfafe or local law regulating consfruction or fhe <br /> performanco o/construction. That 1 arn authorized by fhe owner ol this�roperty fo perlomi the <br /> work!or which application is mado and 1 comply�rifh Ihe Stale Contracrors Law 18.27 RCW and <br /> 296.200 WAC. <br /> �---- � <br /> i <br /> , <br /> �;L%-� - y-/7-��' <br /> Sigpefure 'Date <br /> � <br />