Laserfiche WebLink
ELE=CTRICAL 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 /> /��-�� /rld���0//!�� lp✓GT <br /> PROJECT ADDRESS <br /> �✓,9Lo,y C'v �✓S %• <br /> Owner Mail Address City Stale/Zip Phone <br /> Tenant Mail Address City Slate/Zip Phone <br /> �v�,E��i ��aci- .-�,vc yy y s�.c�c .. s T g�o .�.S I s'Oav <br /> Electrical Conlraclor Mail Address City Slale2ip Phone <br /> yl> 775-$Lj0 <br /> � v2,���Sv �'3'�� <br /> Slatc License Number Contract Price of Work <br /> S• �. -P. <br /> Proposed Use o(Building Conlacl Person (Plan Review) <br /> Descriplion of Work to Ba Done: � W� '��' � ��'r� � •�� � <br /> �f-n� o La �/ !�'v LTi9C��' <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> B[ IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby certily fhat 1 have read and examined this application and kno�v(he same to be frue and <br /> correcL All provisions olla�vs and oidinances governrng fhis type o(work wiil be complefed <br /> whefher speci6ed herein or not The granfing o!a pernuf does nof resume lo give aufhonty to <br /> vio/ate or cancel the provisions olany ofher state or locallaw reguPting constnic6on or the <br /> p u��k/or�aHicfi a��l caf or��is n a�de and�l cofm�IZ�ifh flie Slafe ConfractorspLaw 18.27 RC�W and <br /> 29G.200 WAC. �� P� <br /> _ �?��•�•� � � z � � � � � �6 <br /> - SignaWre Date <br /> �p'� <br /> 7�1 _cj` ? <br />