Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES �_a� � 08 <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org C Q�� i"� <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />3y13 ti����„���� 13\vd <br />PROJECT ADDRESS <br />Owner <br />Tenant <br />� �� � �1 C � 'v. <br />Electrica� <br />1-� �•.�� �� �; 3 �-1 <br />T;, nda,�s5 <br />Mail P,ddress <br />M�I�.;I�ev i�\��-1 <br />City <br />City <br />, �1 G 3c� 1 �S � <br />A1ail Address <br />. IZ `Z/ - <br />i'21 c�; CrT � v�= � r� � <br />State License Number <br />Nc�'v�r� <br />Proposed Use of Building <br />rwa�� <br />��i2S� ,�I� -31�� <br />va����Cl u-��� �,°'Zo� <br />Slatc/Zip <br />Phone <br />Slate/Zip Phone <br />�25-i�S-b�S4 <br />r� �oti�, <br />State/Zip <br />230�� -- <br />Conlract Price of Work <br />Conlacl Person (Plan Review) <br />Phone <br />Descriplion of Work ta Be Done: 2� �� � c,i.C. i" �i � i� S � i V� L� 5 n t,��Q,\ O_v� � �}�,� �. ���` r <br />G � � � J <br />NOTE: WIRING IN NON•DWELLINGS IS REQUIREO TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hcroby certily lhat I have raad and examined fhis application and know fhe same to be We and <br />correcL All provisions ollaws and ordinancas govermng Ihis 1}�pe uI �rork u�tll be completed <br />�rhefher specdied herein or noL The granting ol a pemu( does not presume ro give authority fo <br />wolate or cancel the provisions o( any other state or local law regulating consUuction or fhe <br />peAo�mance olca�shuchon. That 1 am aidhorized by Ihe o�vner ol this property to per(orrn Ihe <br />�rork lor �vhich applicalion is made and 1 comply �vith fhe Stafe Cenf�acfors La�v 18.27 RCVI� ano <br />296.200 WAC. <br />�� � �u�c��� � ) u I c <br />FEE <br />� ����� -og3 <br />