Laserfiche WebLink
1 <br /> ELECTRICAL PERMIT APP�.lCATiAN <br /> CITY OF EVERETT PERMIT S�RVICES <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 /> �//'� U t1 K��" U'z <br /> PROJECT ADDRESS <br /> yL� <br /> Dfil��S �T�l�<���� �'U�,P�// u�<<LJ �. ,���5 <br /> Owner Mail Address City StatelZip � Phone / <br /> � r r � <br /> Tenanl Mail Address City SlatelZip Phone <br /> ll 4'J/✓Tr�� A`�`�' <br /> [leclrical Conitaclor Mail Address Ciry SlalelZip Phone <br /> cx� <br /> /LJ � .:c� v <br /> �-�o �— <br /> Slalo License Num�er � , Cor�t act Price of Wo k <br /> �' r� <br /> � � . �\ <br /> Proposed Use of Buildinc� Conlact Person (Plan Review) <br /> Description o(Work to Bc Done: S�i��� ��F'/�i,s n ) <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> DE �N RACEWAYS, MC OR AC CABLE. <br /> i <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby certily thaf 1 have read and examined this application and know fhe seme to be true and <br /> correcL All provisions o/la�vs and ordinnnces c�oveming fhis fype ol work will be completep <br /> u-hefher speci�ed herein ornoL The granfinr�of a pernut does not resurne fo give authonty fo <br /> violate or cancel the pro��isions o/any other stafe orlocal la�v reguPfing conc�n�ctwn or fhe <br /> perlorrtiance o/constniction. TOat 1 am authorized by the o�ro�ner o/Ih�s property to perform the <br /> work lor�vhich applicafion is made and 1 comply�rifh the State Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> �� <br /> � ;�,� � � <br /> - ignature � � Dale <br /> � <br /> � <br /> � <br /> v vo'-.� <br />