Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERI��ICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.evereltwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> �_ �� � � <br /> ( � . ? ' . <br /> � � -- �� i�'.,AA �'� � i_A� �_. � � <br /> PROJECT ADDRESS <br /> �.�_;1_.U�.:-1C.�� ` �(\.�' � ( >.�1�\� l,�l ��: �> ��� �l_����"1 �� -i�-' — ����:-}. <br /> Owner Mail Addross Clly Slate2lp Phone <br /> Tenant hliil Address Cily Slale/Zip Phone <br /> ��,A,� �. �_� � . ���JI �-- �k�-��"�'-� ( �_-C_� 1_�"\(,� ��-���� �,� c - --��`"�� <br /> E-lectrical Conlraclor Mail Address Ciry Slate2ip Phone <br /> i <br /> �� � ,�� ���'� --�\) C���'�"� �� �.i � <br /> Slato License Number � " Conlracl Prico o(Work <br /> Proposed Use of BWlding Conlacl Person (Pian Review) <br /> �. � � I I v � <br /> Description o(Work lo �o Done: �,�.'�`: �.� \ �1 U, 'j ���� <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> \� <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I her�by certi/y(haf 1 ha��e read nnd exnmined this applicafion nnd kno�v fhe seme to be fni�and c -> �- <br /> corrtcL All provisions ol laws and ordinances govem�ng fhis type ol work will be comple(ed `-�'' l U � - �; �� <br /> �rhefher speafied herein or noL The c�ranfin�ol a penmt does not resume to give authonfy fo <br /> �-iolate or cancel fhe Provisions o/an}�other state or local la�v reguPting consWctwn or the <br /> perfomiance o/consfnic(ion. Thaf I am aufhorized by fhe ouner o/lhis property fo pedonn fhe <br /> �vork!or�vhich applicafion is mnde and 1 cornply tivifh Ihe Sfate Centracfors Law 18.27 RCIM1�and <br /> 296.200 WAC. <br /> . � I . <br /> r -: ---{—�_ _-; ! :' � ,`1 <br /> Sic�r�ture � ' Dalel � <br />