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 />� � <br />; � � � �- rr�c � iJ ir\ <br />PROJECT ADDRESS <br />I�l�f'��� I�Y_:.`, ��,i�`_,�' — <br />Owne� Mail Addross Cily Stale2ip Phone <br />Tenanl <br />M�il Addross <br />Cily <br />StatelZip <br />Phono <br />�"ir''r�\fi E�._�f��- �;Zc3 �i.615� S1� ��i,J ST(1N;,.10oG c�r� ;`5't.`i2 <br />ElectriCal Contraclor htail Address Cil Slale/Zi Phono <br />Y P y i.�j 3f� �h r�'�` i <br />� i M, fl� I E 1 Cx)U �.`L <br />Slate License Number <br />`�` {- <br />Proposed Use o( Ouilding <br />ir+ �C1Ci <br />Conlracl Price of Work <br />Conlact Person (Plan Review) <br />Descriplion o( Wark lo Bo Done: �.�1 ��E /�ICU.� �� F" �� �—`� � ��' ` � I"�V �L� <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 heieby certity fhaf I havo read and exarnined this ap/)lication and kno�v fho same fo be frue and <br />correcL All provisions ollaws and orAinances �ovemmg tliis fype ol u�ork �vill bo complefed <br />u�hefher speafied herein or noL The granting o/ a pernut does nof �resume to give aufhonty fo <br />violafe er cancel the provisions o/an}� ofher sfafC orlocal law r�gulalirig constniction or fho <br />performance o( construction. That I arn authorized by fhe o�vner ol this property fo pedorm fhe <br />work for �vhicli application is made mid 1 compty wilh the Sfnfe Contrectors Larr 18.27 RCW and <br />29G.200 WACI <br />�-----___ 3� �-`� - i i <br />FEE <br />r►lv3-�`�� <br />