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—wvuw.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> �� � Da��S Z���- <br /> PROJECT ADDRESS <br /> �nS COn tn�t � <br /> Owne Mail Address Cily State2ip Phono <br /> Tenant Mail Address City SlatelZip Phone <br /> ��cr.f'�� S �leo�Y,c 7�/ ZSa�'1 S��l/�✓�nw�.� Wi9- q�2q2 '�0-62�� <br /> Electrical Conlrector Mail Address Ciry Staterz(p Phone <br /> CI�R���� 3�I,�� ��.�oa,o� <br /> State License Number Con ract Price of Work <br /> Proposed Use of Building Conlact Person (Plan Review) <br /> Description of Work to Bo Done: /�-`�—�I+'!� QvB✓�� '��V G�/�e�l� G✓r�s �fCC]�- <br /> l�✓n.r�� Cu� <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO f-EE ^ <br /> BE IN RACEWAYS, MC OR AC CABLE. `7 C ��� <br /> � �.� <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 fiereby cerli(y tliaf 1 ftavo read and examfned fhis apHli:atlon and know fhe same fo be true ond E I 2� ?j� � 5 I <br /> correct. All provlsions of laws and ordinances govemuig�.�Is type o(work will be complefed <br /> whether specifled horein or noL The granting o/a permd dces not presume fo give authonry fo <br /> violate or cance!tlie provisions ol any other sfa(e or local law reguleting consfruction or the <br /> performance o(constnrcfion. Thaf I am authonzed by fhe ownor o(this�roperty to perlorm Nie <br /> work lor which applicafion is mado and 1 comply wifh the Sfate Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> . .- � <br /> 3--29,�o/z <br /> Signalura Dale <br />