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 8 AM TO 4 PM <br />�ri�`9r %� ���lb <br />����� ol��n�<< ��� <br />PROJECT ADDRESS <br />Owner <br />�• 1 Cj r�.� �d-`{ <br />Tenanl <br />Sn.,t < <br />Mail Address <br />.���' � �J�,- 5 <br />hlail Address <br />City <br />Cily <br />Eleclrical Coniractor Mail Address Ci1y <br />C` t��' c'� l I— � P�'( 1! <br />Slate License Number <br />Proposed Use o( Building <br />Descnplion ol Work to 6e Done: <br />n �� �%�r5 ��, l <br />�J <br />State/Zip Phone <br />�✓rrP� ��1�/ <br />StatelZip Phone <br />SlalelZip Phone <br />Conlracl Price of Work <br />Contact Person (P�an Review) <br />�'7vcl��� cs � , <br />C ����� � Ut,� � 5 �'/'r/, <P /v � <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />B[ IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />�,�� (��s�,� <br />I hereby certily fhat I have read and ��rarnined fhis app/icafion and know fne same to be Irue and <br />conecL All provisions o/ la�rs and ordinances c�overning fhis type oI work will Ge complefed <br />�rhefher srecilied herein or noL The gianting o! a pr.nnd does not presume to give aulhonty fo <br />violafe or cancel the provisions olany other sfafe or locallaw regu/afing construction or the <br />peifomiance oI consfruc6on. That 1 am aufhonred by the owner o( this property to perlorm the <br />�vo�k 7or which applicafion is made and I compl}� u�ith Ihe Stafe Con6acfors Law 78.27 RCW and <br />296.200 WAC. <br />i <br />> � <br />�"� ,-,-. L� �.. i �' s_'�- _.-_ L' z z—� E <br />r-ee <br />t= c �.�� ,.�— �'� 3 <br />