Laserfiche WebLink
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 6 AM TO 4 PM - DEBlT 8 CREDIT CARDS ARE NOT P.CCEPTED <br /> / 7 � I ��K(>S f�JC LU��c'.tr`T- wa S/712� <br /> PROJECT ADDRESS <br /> /,Gl, -c��c�t�r � r��-rw-ac_ !`/l9 G���s /r�,� ���7T c.�R Skzo� yr_.r2_rz�Grt <br /> � <br /> Owner Mail Address City State/Zip Phone <br /> �� <br /> � -- <br /> Tenant Mail Atldress City State2ip Phone <br /> f'/ c-�vNJ-,� <br /> Electncal ContraCtor Mail Adtlress City State2ip Phone <br /> N/ ,� N��; <br /> ,, <br /> State License Number Conlract Pnce of Work <br /> /1 r��c�ii��iii�E C,�,��t;�`j �i_ 7:i�ti�I���L <br /> Proposed Use of Building Contac'Person (Plan Review) <br /> Description o(Work to Be Done: Y���> �L G!/✓/��,�'Ci�C�U/•'L� C/��L/J� /�1 <br /> , ; t,r,:,;�i=,.� �'. ��'r`;� _ <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> I <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 here6y ceRity that 1 have read and examined fhis applicafion and know the same to be true and <br /> conect. All provisions o/faws 3nd ordinances yovermng this type of work will be completed <br /> whether spec�fied he�ein or noL The granting of a permd oaes not presume to give authonty to n <br /> violate or cancel the provisions of any other sfate or local law regulafing construct�on or the �� y� <br /> perlormance o7 construcOcn. rhat/am authonzed by the owner o/this propeRy to peAorm fhe , � � <br /> �vork!or w,4ich a;-plication is rnade and I c�moly with the State Con�recfors Law i8.27 RCW and / � I,�, <br /> 296.200 WAC. �r ; G� ,; <br /> _ /// <br /> zv S..�,e.� �= <br /> " ���.::�,:�.��'����-� <br /> S�gnature ��`, �ate <br /> � 1 <br />