Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 C[DAR STREET, EVEREI"T, WA 98201 <br /> 475-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM T04 PM <br /> �5— F �vs , � �� <br /> PROJECT ADDRESS <br /> Owner Mail AdAress Ciry Slate2ip Phone <br /> / _� � — _ <br /> TenBnl Meil Address Ciry Stale2lp Phone <br /> �'�5_���.s ,�� S�/i 3 �� .. ' �• �✓�- 9�t v 2 � <br /> Eleclrical Coniractor �Aail Add�ess Cily Slate�Zip Phone <br /> � <br /> i �� �n ►� 5Iv12 '� z. .�.5� <br /> State Licerse Number Conlract Price of Work <br /> n � •I �,,�T �5�7 6yG•f.ci0 <br /> 1� <br /> Proposed Use ol Owldm� Conlact Person (Plnn Review) <br /> Descriplion oi Work to C7e Done. �(`<�"��f, � %y f--' � . �e•, /f ♦ S 7`� � �0 <br /> I <br /> � --— <br /> NOTE�. WIRING IN NCN-DWELLINGS IS REOUIRED TO FEE <br /> BE IN RACEWA`!S, MC OR F,C CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 -- — <br /> I hemby��erLly fh;rt I Ir;rvr. rend anJ o�nnnneAfbis app6co6on and kno�v Ihe smm�fn bo fruo and � 1� Z- � �- 7� <br /> -�orror.f. All p�ovrs�ons of Imrs�and ardmnncos gove�ning th�s typo ol nrvA r:dl be i.umpl�fed �-� <br /> mhelhor speciGod frorom or nof Thn g�anfui9 o/a pemr�f dnes nof/vesurno Io 9rve aulhorRy fo <br /> wolnf�orennccl fho �rovisnns ol nny ofhe� sfnfe or local law iogu a6ng<•onshuchon or fho <br /> perinrrnancn olcarrs�ruc6arr lh,�t I nrn nulhouzod by Iho o�sner ollhis properiy fo perlornt fh�3 <br /> ' rco�H lor which n��plic��Gon is m;ido nnd I cornply�talh fhe Sfafo Contracto�;La�v ib 27 RCW a�1d <br /> i �9G 200 WAC. <br /> ; <br /> / — <br /> I - �T i / z ' � Y / O _ <br /> � Sip � ire Oale <br /> i <br />