Laserfiche WebLink
� <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.evereriwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> �c�a �a �l� i�� , �����t�, l�/-� <br /> PROJECT ADDRESS <br /> ��1'��iti A�?� .1J� �2 /�GY,✓����C, ��U'� ��ZCJj �S.?,-C),��'/ <br /> Owne� Mail Address Ciry StaM2ip Phone <br /> Tenant Mail Add�ass City SfatrJZip Phone <br /> ���YhP_ C�uJ��O✓ <br /> Eledrical CoNractor Mail Address Ciry State2ip Phone <br /> State License Number Contract Price of Work <br /> Proposed Use of Bullding Conlad Person (Plan Review) <br /> Description of Work to Be Done: (�.�'3-'�1.2 C/P. �Je C! ��('c�.0 ��/11�i l. <br /> NOTE: 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 here6y cortily fhat 1 have read and examined fhis application and know fhe same to be true and <br /> cormct. All pruvisions o/laws and ordinances govem�ng fhis type o/work will be complefed <br /> whether speci�ed herein ornof. The grantinp of a permd does not prosume fo giw aufhonty fo <br /> vrolate or cancel fho provisions ofany olher sta�e orbcal law regu/afing construdion or the <br /> peAortnance ol construction. That I am aufhonzed by the owner o/fhis property to perform fhe <br /> work for which application is rtiade and I ciompry with the Stale Confrac(ors Law 18.27 RCW and <br /> 296.200 WAC. <br /> L� ' � �./C" �(�� /� <br /> Signature <br /> � <br /> �� r . ��' <br />