Laserfiche WebLink
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 B AM TO 4 PM <br />`� �f I�, r�-ocKc r� ��c�- <br />PROJECT ADDRESS <br />F� � <br />Owner <br />Tenant <br />Mail Adtlress <br />M11ail Address <br />Ciry <br />Cily <br />Slate/Zip <br />Statc/Zip <br />Phone <br />Phone <br />�uMN`,IT C�E��iL�� �i.o�'� 2-l��Sr ST IJ� S�r�W�uJ W!'� ',\��,L��n� yZS S�i 5% <br />Eleclrical Conlreclo� Mail Address City Slale/Zip Phone <br />�UMcr.IC I noo �L�L <br />Slate License Number <br />SF i� <br />Proposed Usc� ol 6uilding <br />Description oF Work to Be Oonc t.J 1 Y.�' 1J e� S� 1- <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3' OS <br />��1 <br />Suo� <br />Contrac� Pricc of Work <br />Conlact Person (PL;�i Review) <br />FEE <br />I hereby certily fhat I have read and examined this applicafion and kno�v fl�e same to be frue and <br />correcL All provisions o/la�vs and ordinances govenung this fype ol work will Ge completrd <br />whclher spec�Ged herein or not The �ran(in� ol a perrnd does nof presume to give aufhority fo <br />violatc or cancel fhe provisions ol an}� ofher s(ate er lucallard regulafing consfruc6on or fhe <br />perlomiance ol construc(ion. That 1 am authorized by fhe owner o/ fhis property lo periorm fhe <br />work lor ivhich application is m�de and I cornpty with Ihe Sfafe Confracfors Lmv 18.27 RCIh' and <br />296.200 WAC. <br />�t,- � -(] l� <br />� �'���-- �// <br />