Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 /i `�Z_� � <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org Y <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />Gv�a� �� <br />J lC�`� (✓/''c�,-; j/-c'�� (j/u, l <br />PROJECT ADDRESS <br />Tenant <br />Mali Addross <br />Mall Addross <br />�✓ c. ,. �, <br />Cily <br />Cily <br /><"lo ��n F � �' - <br />Eleclricat Cornlrador A4ail Address City <br />_1� <br />State Liconso Numbcr <br />Proposed Use oi Buildinc� <br />l.t/�? ?G,�'� Y�� ���'��Z.� � <br />Stale2ip <br />State/Zip <br />Slalc2ip <br />Contracl Price of Work <br />Conlacl Person (Plan Reviow) <br />Descnption o( Work to Do Dono: �L�t cip �C %�v-� /!�,,,iC=f �- {�/� �,�„�r:��-d/— <br />/.� l �= � <br />Phone <br />Phone <br />Phone <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 3105 <br />I hereby cer}i(y that 1 have read nnd examined fhis apF�licafion nnd know fhe sarne to bo Vue and <br />correct All provisions olla�vs and ordinnnces �ovemmg fhis type ol work will bo complc;ad ��-7 LI _ �/,� � <br />whefher specilled herein or ncL The grenting o/ a pennd does nof prosume ro give autho^ty fo U L- I <br />violafe orcancel fhe provi�ions o/an}� ofher state orlocal Inu� re�ulatin� construction orthn <br />perfortnance ol construcfion. That I am authonzed by the oirner ol fhis property to pedomi the <br />work loi which applicafion is mndo and 1 compty �vith fhe Stafe Confracfors Law 18.27 RCW and <br />29G.200 WAC. <br />� <br />� . <br />L=" <br />�� <br />