Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SFRVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - F�,X 425-257-8857 - www.everettwa.org <br />APPLICAT.n�:' �,RE ACCEPTED FROM 8 AM TO 4 PM <br />.2 9/S /�1e .OouG.�� �v'� <br />PROJECT ADDRESS <br />3-as -�v <br />� � y�3 �-/2 z <br />�0 9 <br />�'G.4i�( ,QN�/�/F% P�a�x G38 �i�f/iNRoP �/� 988�.2, 3y/. �z�y <br />Owner MadAddress Cdy State/Zip Phone <br />i <br />Tenant h1aJAddress Cdy Slate2ip Phone I <br />�z� Iil,.,>-ev F��i��� sioi So4.-�f 1a'°/�rc Fv�C�F i Gd� yp1�3 ss1-7Pf <br />EleUncal Contractor hta�inddress C�ry state2�p Phone � <br />//N. i �'•�G /7 GiYG <br />State License Number <br />/,4�.t'i�vS �o � �/4lfi/N� %` .rE.el�ic � <br />Proposed Use of Building <br />Square Footage Qf residential new conslruction, remodel or addition) <br />�� 400 —" <br />Conlract Price of Work <br />Contact Person (Plan Revie�v) <br />Description of Work to Be Done: �/-li /{i /�� S �'` fu`'� i���A�c .Sf�N�C� <br />NOTE' WIRING IN NON-DWELLINGS IS R[QUIRED TO FE[ <br />BE IN RACEWAYS, MC OR AC CABLE . <br />� � Z� <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby cerfi(y Ihat I have read and cramined this application and knav the same fo be Inie and ���� �_ l�� <br />connct. All p�ovisions o/ /aws and ordinances goveming Ihis type o/ �vork will 6e complefed � <br />�t�hether spec�fied herein or noL Tbe gr�nhng of a pemut does nof resunre (o give authority (o <br />violate or cancel Uie Provisions of any ofher sfafe orlocal law raguPating constn�cnon or the <br />perfonnance o/ constn�ction. That I am aufhonzed by fhe owner o(fhis roperty fo peAomi fhe <br />work /or which applicafion is made and 1 corn�ty with the Sta(e ContracPrs La�v 1827 RCW and <br />296.200 WAC. <br />G' .f- /� <br />igna;urc te <br />