Laserfiche WebLink
� � <br /> �ELECTRICAL PERIMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 96201 <br /> 125-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT&CREDIT CARDS ARE NOT ACCEPTED <br /> �x� �l�e.��, �1 C e�-�� PFl�Kwr�� <br /> PROJECT ADDRESS <br /> ���q�;N��a;J �-�olc�,uc_S <br /> Ownef MailAdtlress City Slate/Zip Phone <br /> Z�m��z (� �3cb �✓1��11 CR- �� PaKu�-,�v t—�;—c—,r�r- ���a <br /> Ten001 Mail Address City V $����/ZiP� Phone <br /> �QN✓C�G��T l Ec.HNo�A iC-5 �l)D S/t�}Rl/U� Avr S �,"��^�, C,�r� �T�o Ss <br /> Electncal Con�ractor Mail dress Cily State/Zip Phonc <br /> 4ZJ-L7) -, <br /> e=_, � Tu <br /> _�oN v� �i.. 9��t F�G /, �cX� • <br /> State License Number Conlract Price of Work <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work to Be Done: �NS�'�� 3-'c�/�F-C'12- /S�O�C l/U f�C,f <br /> _�'/`�A� SAJ�CC 1� T%C .//VI� �� 51 Cln'LUI � <br /> �✓ <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br /> I hereby certily fhat I have read and examined this applica(ion and know the same to be true and <br /> conecf. All provisions o/laws and ordinances govermng this fype o!work will Ge comple(ed <br /> whether specified herein or not. The granting ol a permd does nof presume to give a�Rhonfy to <br /> violate or cancel the provisions olany other sfafe or local law regulafing construcfion orlhe <br /> peAormance oI consfmcfion. That 1 am authonzed by fhe owner olthis property fo pedorm the <br /> work/or which applica(ion is made and I comply wifh the State Confractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> SignaWre Date <br /> /, <br /> �� � �� /- / �) <br />