Laserfiche WebLink
I • <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 ?j —3—I/ <br /> 425-257-8810 - FAX 425-257-8857–wvuw.everettwa.org �'��� 3��2 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> /-SZ� -T �s, �� Sf�� /` <br /> PROJECT ADDRESS <br /> /7/Gvc._/J /�-�'2 �U��✓ �''o-t /�v•.-+ Sc /7�G�/ <br /> Owner � � Mall Address Clly � State/7Jp Phone <br /> Tenanl Mall Address Cily State/Zip Phone <br /> � � <br /> `o;h�ssi �•-,�� .��1'��.i, � T.�. c /'O/3 ,� %`7 /J�//. .,yf��-, L�/�{ 56'j.��3 <br /> Electrical ConlraClor Mall Address City Slate2ip Phone <br /> ��,K D /�/�v .� c� 7 7,t�A <br /> State Lfcense Number Contract Price of Work <br /> /i �'I i.�o-,t'(- <br /> Proposed Use of Building Conlact Person (Plan Review) <br /> Descriplion of Work to Bo Dono: f�;%�'���� .� G .��C� ��' r ��>� � � <br /> /< (`� �!/;�/ /� S t: � i�G/7 r / �Y~("(�r"�('i' <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. �S—o_ <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 ,� I <br /> 1 hereby ceKily that I have read nnd exam(ned this applicafion and know the same to be frue and (�1 i �J ��� 2 <br /> corrocL All pruvisions o/laws nnd orclint+nces goveming fhls type o/work will bo complefed <br /> whefher specitied herein or noL Tho grnntin�ol e permit does not�resume fo give authonty to <br /> violate or cancel Uie provisions oI any ofhor state or local la�v regulating construction or the <br /> pedomian.a o/consirucfion. Tht+f 1 am authorized by the owner o(this property to perfomt the <br /> work lor which applicafion is mada and/cornply�vifh the State Contractors Lew 18.27 RCW and <br /> 29G.200 WAC. <br /> �j'<<ci� ,'�.-,.;c�_, .� - � - .�� / / <br /> SignaWre Date <br />