Laserfiche WebLink
( ( I <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 - DEBIT&CREDIT CARDS ARE NOT ACCEPTED <br /> �� /G M�o% St <br /> r <br /> PROJECT ADDRESS <br /> o�G�r�, 1 /�.,;�� lyu.�o �cl�/i �`HS /-l�c .�/� /a�l,�{/o., 4J�1 �j�f223 3r.o y35- �aGS <br /> OWner Mail Address City Stata2ip Phone <br /> �� <br /> Tenanl Mail Address Gty Stale/Zip Phone <br /> �w�er <br /> Electrical Conlraclor Mail Address C!ry State2lp Phone <br /> _ �S.00 <br /> State License Number Conlract Price of Work <br /> Proposed Use ot Building Contacl Person (Plan Review) � <br /> Description of Work lo Be Oone: ._Ln r�z// G F.Z ac.)��cf' to+- .Sc�wp� � <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> B[ IN RACEWAYS, MC OR AC CABLE. I <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 I <br /> 1 hereby certi/y that 1 have read and examined fhis application and know the same to be true and <br /> correcf. All provisions o/laws and ordinances governing this type ol work will be complefed I <br /> whether specified herein or noL The granting o/a permd does not presume to give aufhonty to <br /> violafeorcancelflie provisionsolanyotlierstafeorlocallawregulafingconstructionorthe <br /> pedormance o/construction. Thaf I am aufhonzed 6y the owner o/fhis property to perlorm fhe <br /> work lor which application is made and 1 comply wilh the State Contractors Law 18.27 RCW and <br /> ?96.200 WAC. I <br /> '/ , II <br /> � ,� <�.- �-as ��s <br /> — Signatu Date <br /> �c���-i�9 <br />