Laserfiche WebLink
—� <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 �Z��I`-�� <br /> 425-257-8810 - FAX425-257-8857-www.everettwa.org C���Z-0cJ� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> � �cl �1,�i 1=��' F1U,:, <br /> PROJECT ADDRESS <br /> �e�e� e�, �� �� s� �s o ra .� � �Q��� -„ <br /> Owner Mail Addross C ty Stale2ip Phone <br /> Tenanl A1ail Address City Slale/Zip Phone <br /> � ��a � ��i ��al� ��l��1"Ih �Oe! � ,n Sj�i'�. I/�����10��(�t�NW W� <br /> Eleclrical Coniraclor Mail Address City , StatelZip Phone <br /> � �cr��l lLj' � b <br /> Slale License Num6er � � I ontrecl Price of Work <br /> ��h. � ��n �� <br /> Propose Use of 6uildm � - Contact Person (Plan Review) <br /> Qo�.�r� X �n � �P 9efvicc� 4r( 2 �d 4� <br /> Descnplion o(Work to Be Done: �yy Q� ( <br /> IR .�� <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 /> 1 hereby certily fhaf 1 havo read and exemined Ihis applict+fion and know fhe seme fo be true and �� (Z��� <br /> correcL All provisions o/laws and ordinances goveming this type olwork wil/be completed <br /> whefher spocfied herein or nol. The granfing o/a pemuf does not resume fo give aufhonty fo <br /> violafo or can;,el Uio pro��is�ons o/any ofher stafe or local law reguPfing consWcfion or fhe <br /> perfomiance o/construcfion. That 1 am aufhonzed b}�fhe owner o!fhis property fo pedomi fhe <br /> work(or whicf applicati is made and 1 comply with fhe Stafe Confractors Law 18.27 RCW and <br /> 29G.200 WA . <br /> �� l2(� � 56 <br /> Signalure Dale <br />