Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br /> C!TY 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 /> �✓�D/ /���,C�i1r/�(_",�,�f'/l,�.i ��(,�i� /�� <br /> PROJECT ADDRESS �— <br /> i� (� n <br /> /'. /� /�l�r�,���������,�f �/' <br /> Owner ✓ Mail Address Cily State/Zip Phone <br /> Tenant Mail Address Ciry Slale/Zip Phone <br /> �.�, � � � -��' ��S�v3Gs' <br /> �/�C �,c.1�,�L=. /_"l�E;f G/,�dC°_ /✓�'�a_'�J�J���%1�l>'/r/ �„/i,e..,„i/< /.� ��-,�l'Pn,�.fL <br /> Electrical Conlrac;o Mail Address City State2ip Phone <br /> ���',C � N I:. � /� 7 1� �- L'l �n ° c <br /> Slate License Number /� ' CoNracl Price of Work <br /> �– // 1 <br /> p i � <br /> �G•.4».n� J C) �[1�1Z ) — J . / <br /> Propose�Building Contact Person (Plan Review) <br /> Description of Work lo Be Done: �/f'.�„ f�� �',,� � � <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TN(CODE IS 3105 <br /> I hereby certily fhat I have read and examined fhis application and know the same to 6e true and <br /> correcL Al/provisions of laws and ordinances governmg fhis type o/work will be compfeted <br /> whether spealied herein or noL The granfing ol a permd does not presume to give authonfy !o <br /> violate or cancel(he`�rovisions of any ofher stafe or local law regulafing consfruc6on or fhe <br /> perfomiance of cons6uction. Thaf 1 am authonzed by the owner ol fhis preperty fo perfomi fhe <br /> worklor whicfi applicafion is rnade and I compty wit0 fhe Stafe Contracfors Law 18.27 RCW and <br /> 296.200 WAC. <br /> :� kl� / � � � <br /> ��— . � J- �3 -o � d11' <br /> " Signalure Dale � �(J ` <br /> � �G � �,. <br /> � <br />