Laserfiche WebLink
� <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 320U CEDAR STREET, EVERETT, WA 98201 `��_D � <br /> 425-257-8810 - FAX 425-257-8857 —www.evereltwa.org �j <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM � O ` � 3�—) � <br /> � <br /> A <br /> ..� 4� ��/�'�.rrlp�-, i�,r../,' . <br /> PROJECT ADDRESS /� <br /> C/ <br /> �Y '���T`" � G�G/��� ,_)�C�/G1�iYC�ZQ�/l� C/V!n �t��✓���!/✓!'1 � /L '���j <br /> Owner Mail Address � City State/Zip Phone <br /> ��1/�C <br /> Tenant Mail Address City State/Zip Phone <br /> �f,r)��L�/( <br /> ElecUical Contraclor Mail Address Cily Slate/Zip Phone <br /> .�`,�� �� <br /> Stale License Number Contract Price ot Work <br /> � / <br /> �Ji.�/�J.:o'%/iir'� �2 vi �2tX�n1?/Z _ <br /> Proposed Use of Building Conlact Pee�on (Plan Review) <br /> �__,�'//i /' � � <br /> Description of Work lo Be Dane: _�i�-r`7,�.�''/ _-���i �l�ln��i' .��Cie<)��,^./ '�%��«� <br /> / <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I liernby cerii/y fhat I have read and examined this applicalion and kno�v the same fo be true and �J /O <br /> correct. All prov�sions o//a�vs and ordinances govemmg fhis type ol work�vill be complefed (J�Q3 ' � <br /> whether specified herein or not The granfing of a pemut does not resume fo give authonty to <br /> violate or cancel fhe provisions o(any other state orlocallaw re�uPting consfruction or the <br /> performance o/construcfion. That 1 am aufhorized by the owner ol this property to perform the <br /> wo�k Ior which application is made and 1 compty wifh the State Confracfors Law 18.27 RCW and <br /> 296.200 WAC. � <br /> � i <br /> _�'��l�'r� /�/ �/��/�//Gf� _ <br /> % Signalure _.� -0ate <br /> / [� <br />