Laserfiche WebLink
ELECTRICAL PERIlAIT APPLICATION <br /> CITY OF EVERETT PERMII' SERVICES <br /> 3200 (;EDAR STREET, EVER�TT, WA 3g201 <br /> 425-257-8810 - FAX 425-257-8857 -www.evereti:va.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PFt <br /> /�/o� �i���.�;i�C.�;� ��/��/i��� � <br /> PROJECT ADDRESS <br /> /'`,(%�U�� /9�0/ '�D��v�4� )i.��r' a7�v 7dG.3L• '`�04 � ���a -y'.�l'�.� <br /> Owner M1tail Address City StatelZi� Phone <br /> Tenanl Mail Address City Slate/Zip Phone <br /> G �� f'IPC.��/�Jr N��OhI .�=`�A✓c � ��ov� ��/r ��'�G �'1�'��-%1L,,G <br /> dvt`i <br /> Elecirical Contra or Afail Address City Stale2ip Phone <br /> %Y�C � .�//t �%�,l�� �o o"i <br /> Stale License Number Gontracl Price o(Work <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work lo Be Done: �/1 n, /���'�? <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRGJ TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby cerii(y fhat 1 have read and examined this applicafion and know fhe samc to be frue and <br /> correct till provisions of laws and ordinances govenung fhis type ol work will6e complefed <br /> whefher soea6ed herein or noL The granting ol a permit does nof resume to give authonty to <br /> violate or cancel fhe provisions ol any other state or local law reguPfing constnicfion or the <br /> peAormance ol conshuction. That 1 am authoiized by fhe owner o/this property to perlorm fhe <br /> work/or�vhich applicafion is made and I compty wifh the Sfafe Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> � �, (t � � <br /> ..,. �D '/�-U,$ <br /> gnaWr Date <br /> �o5rG-c7& <br />