Laserfiche WebLink
i, <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES � c��� <br /> 3200 CEDAR STREET, EVERETT, WA 98201 So5 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org �° <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> /�Di �f�.//�� /�fJ� � �.f,�� �/1� <br /> PROJECT ADDRESS � `'� <br /> v F .D�v �% <br /> Owner Mail Address City StalelZip Phone <br /> Tenant Mail Address City Stale/Zip Phone <br /> �`/`//J.rJ/'�/G / •'r �! �����r l7 �% l0) G ' /IND�JG[S �d"V.�G J�S'�?".f �"/��F.b <br /> E�eclrical ConUacl Mail Address City State/Zip Phone <br /> ��L°,tJ_�t�G.=�a7_� �� ��o �e <br /> Slale License Number Contract Price of Work� <br /> Proposed Use o(Building Contacl Person (Plan Review) <br /> Descriplion o(Wark to Be Done: �DD ��.t/J �>o /Or�1_'/2 _ <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 /> 1 heieby certily that 1 have read and examined lhis applicafion and know the same to 6e true and <br /> conecL All provisions o//aws and ord�nances govemmg this type o(work will be comple(ed <br /> whelher speci6ed herein or noL The granfing o/a pernuf does not presume to give authonty(o <br /> violafe or cancel Ihe provisions ol any other slate or local lav, regulaling construcLon or the <br /> performance o/construction. Thaf 1 am aufhonzed by fhe owner o(fhis property to peAonn the <br /> work lor which application is made and I co iply witH fhe Stafc Confractors Law 18.27 RCW and <br /> 296200 WAC. <br /> 1 ,�Q. �-�`,lu, :.� � �'�-d � <br /> S' nature / Date I <br /> �Z, 1 C�� <br /> � <br />