Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, [VERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.everetlwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> % '( /C� � 2. <br /> � 3 C�%U /�1 ��i' ��' �,�� �'c /i�.���w ,} �� � �t'� r � Y--- <br /> � , � <br /> PROJECT ADDRESS � <br /> Owner Mail Address City Slale/Zip Phone <br /> `�[� �(�.5 f� O �/� <br /> Tenant Mail Address Cily Slale/Zip Phone <br /> �sS�cl�..� �'���f.es� 5��+,��. GJ'.�- SP�.fj vz�- 3�3Y-rsss <br /> EleCtrical Contraclor Mail Address Ciry State2ip Phone <br /> �SS � �c�c. � 6'��� 1`��� S� <br /> Slale License Number Conlract Price of Work <br /> v ����. <br /> Proposed Use of Building Contact Person (Plan Review) <br /> �escription of W ork to�c Done: �=5�4 � � �a f S'�h /_ J �� <br /> ) ' - <br /> / <br /> - �-,a.+-� C_�r,S <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> � 8E IN RACEWAYS, MC OR AC CABLE. <br /> I <br /> � CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> � /hereby certily fhaf 1 have read and examined this application and know fhe same to be frue and <br /> correcL All provisions ollaws and ordinances govermng thrs type ol u•ork�rill be completed <br /> �' whether specified herein or nvt The granting ol a pennit does not resume fo give aufhordy to <br /> violale or cancel fhe provisions o/any o(her state or local law reguPting construction or Ihe <br /> � per/onnance o(constructioa Thaf 1 am authonzeAby the o�vner oRhis property fo peAorm the <br /> I 296 200�WAC.application is made and 1 comply�rith the Sfate Contiactors La�v 18.27 RCW and <br /> /�� � � � <br /> 1/ '�«-"! �`=; ,�� �. :`�L '�. ?�/� <br /> Sipna4ire Dale �� <br /> �C� (,�- �5 � <br />