Laserfiche WebLink
( <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY 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 /> fG�� Ma��� �t�����- <br /> PROJECT ADDRESS <br /> 3E,G <br /> �'�1,��� �- .� , ��.k1�s- ���Z c��'� S-� .lJ,�, l�ta�,����;��e w�!- `ZbYz�� ��v-��� <br /> Owner Mail Address Cily State/Zip Phone <br /> /V l�� /��c' <br /> Tenanl Mail Addres: City Slale2ip Phone <br /> = � I <br /> 1 <br /> �� <br /> E�ectrical Coniraclor Mail Addross Ci1y State�Zip phone <br /> State License Nurnber Contracl Price o(Work <br /> Proposed Use o(Duilding Contad Person (Plan Review) <br /> r 1 i I _ <br /> DescriptionofWorkloBeDone: 1�1��<`��'����� L���-�' �«l� ��'��� � � �i3�-u=�°ti <br /> 6'��'C�i�v�) <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 CO�E IS 3105 <br /> I hereby certilylhal 1 have read and examined(his applic:�fion mid kno�ti�the same fo 6e frue and C–�fC _C�` a <br /> correct. All pravisions o!laws and oMinances�overnmg th�s type ol�voik�vill 6e completed � �l, <br /> whether specilied herein or not The granting oI a pernut does not preswne to give aufho�ity lo <br /> violate or cancel fhe provisions o/an}�other sta(e or local lmv regu/ating consUucfion or the <br /> peiformance oI construcfion. That 1 am authorized b}�the o�vner o/Ihis properiy to pe�fornt the <br /> �vo�k for whicli application is maAe and 1 comply�vith fhe Stafe Confractors La�v 18.27 RCW and <br />' 296200 WAG � <br /> g"/-�� ///' — � . <br /> � J'� `��.�/��i' 7 — <br /> l._-, i . <br /> , Si�nalure � Date <br />