Laserfiche WebLink
( <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EV�ERET�' PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FNX 425-257-8857 —www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> r'.� ��fi' C��-l�.n� ���. ��� <br /> PROJEC A�DRESS <br /> ��(.� ,1 �Cz.m�,�l`�L:( � /7�/y /03�`� 1�� �il;_ �i—vrt,�,/�¢ l�ci//i /,�i� �I.P�-5� <br /> OWnef MailAddrass Cily Slate2ip Phone <br /> �t^�12Z-fs7S <br /> � ,�11 <br /> Tenant Mall Address City State2lp Phone <br /> ��//1 �Cf'. S �( -1lKhl"1 `/-�C.`rYlxJ L�h.f„� <br /> EleclriC I CoMr Clor Mall Address City Slale/Zip Phone <br /> CL ('����-1�L1 <br /> Slate Li anse N iber Conlract Price of Work <br /> Proposed Use ot Bullding Contact Person (Plan Review) <br /> Descriplion of Work l0 8o Dono: lP� Tr*ty�.r� ���!�C <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 hereby certily thaf I havo read and exontined this application and know the sarne to be fruo and <br /> correct. All provisions of laws and ordinances govommg this type o!work will6o complofed <br /> whetherspecified herein ornoL The grenfing o(a pernuf does nof resumo fo give authonty to <br /> violafe or cance/tho provisions ol any ofher stafe or local la�v rec�uPting consWcfion or the <br /> perfomianco of consWction. Thaf 1 am aufhorized by the otvner ol ihis properiy fo perfomt the <br /> �vork lor which applicotion is mado and 1 compty�vith fho Stafe Contracfors Law 18.27 RCW and � ^ I�O <br /> 296.20 WAC. , <br /> %���!_ ��� i � �1 ->n ��b <br /> J Signa ure Date � <br />