Laserfiche WebLink
ELECTRICAL PERMiT APPLICATION <br />�/- �as� C�TY OF EVEREi'T PERMIT SERVICES <br />�j � U� 3200 CEDAR STREET, EVERETf, WA 98201 l� —O S-0� <br />�a.3 425-257-8810 - FAX425-257-8857—www.everettwa.org ���j)� <br />� �Z��a�' No8 � <br />� � APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />3 %23 �V -��ii � �c-�- <br />I` QG �C.a -��-e-i � E-/ f�-e_ r <br />PROJECT ADDRESS <br />�5i �� j�tc�erl ��� � 2oly "�' �5�, Sr ,�vere�l w� 98z�" <br />Owner Atail Address City SlatelZir Phone <br />. � � � � <br />!�, �I w� ?�G Ct %I ! +G <br />Tenant � M11ail Address Cify StatelZip Phone <br />I�GrnP <br />Elecirical Contrac <br />� I� �%r r c LLL �� r c Cq ���. S�- .���>.���', c�.,a <br />�1ail Address <br />3�-,� N cz z 3� o�� <br />Slale License Number <br />:� - 1ZE 5 i�lc ti.� � I�-o n� s <br />Proposed Use ot Duilding <br />Description of Work to Be Done: �� <br />.� <br />City <br />Stale/Zip <br />Z�%�CiOU <br />Contract Price of 1Norh <br />�C'�./.'�-� 1� G, Y ,tv� _ <br />Conlact Person (Plan Review) <br />f� c'u \ � <br />-�P- C�k� 'N e<..� P� i�-�, �,G� �'�w is (,.� �-�;,,,�p 5�-r � V�C� — <br />_(),c � -�,��l�.S i�, e-��� c2,��.f� <br />NOTE: WIRING IN NON-DW[LLINGS IS REQUIRED TO <br />!3E IN RACLINAYFi, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby ceriify Ihat f have read and exarnined this applicafion and know fhe same to be tru� and <br />con�ecL All provisions o/la�vs and ordinances govemmg fhis fype of �vork will be compleled <br />whefher spec�lied herein or not The granfing oI a pernut does not uesurn.e to give authonry fo <br />violafe or cancel Ihe pro��isions or any olher sfafe or local law regulating construcfion or the <br />pedormence ol const�ucfion. That 1 am a�dhorized by the owner oI fhis property to pertorm the <br />work Inr which applicafion is made and I cornply u�ilh Ihe Slate Contractors La�r 18.27 RCW and <br />29G.200 V✓AC. <br />. %� <br />F[E <br />�c��i-ca7 <br />