Laserfiche WebLink
ELECTRICAL PERMIT i4PPLICATiON <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — vnvw.everettw�.org <br />APPLICATIONS ARE ACCEPTED FROM 6 AM TO 4 PIA <br />f �� <br />��� 7 �; /� //1/� —T <br />PROJECTADDR.ESS /��.f-� �,LjA. �,O.a�U� <br />in <br />ccnc � �t � <br />IAeil Addmss <br />City <br />�_3,0-�8 <br />c�ogo��167 <br />� l%-�- `1 Ud�r- U / � <br />Slele/Zip - Phone <br />��.�5� 3:��- �j,, <br />Tena� MailAdtlress City 51ate2ip Phone <br />�y4�' ) <br />���c � � � -� �� F�X �o �C�� /� �k' r'n� �.�� A 9��58 3�� -f yc� <br />EleqnCal Conirador Meil Addmss City SWIeIZip Phone <br />f-IL,�L.�zl.�� yk ; K�— — <br />State License Number <br />L� 1� �-QC•�: L <br />Pmposed Use of Building <br />Descriplion of Wnrk to Be Done: <br />n <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR �C CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />�J <br />�:� / L� U <br />, <br />Contrad Price of Work <br />Contact Person (Plan Review) <br />I hereby cedAy thet 1 heve rend and eAamined fhis application and krrow fhe same to be true end <br />correct. All provisions o( laws and orzlmances go�emmg Ihis type ol tvork wdl be wmpleted <br />whelher specilicd herem or not. The g�nn6ng o( e pemid dces nol re�umc lo yrvc nuthonly lo <br />violnte or cancel fhe provisiona o/ any other slafe or local law reguPting cons Wction nr fhe <br />pedominnce o/ conslruchon. Thal I am aufhonzed by fhe owner o/ lhrs propetl y fo peAorm fhe <br />work loi whicb applicalion is made end I comply wilh fhe St�fe Confncfors Law 7B27 RCW and <br />2962q0 V✓AC. <br />� ,1(i��l /.! � C31��l.�st� %�.�� ���! <br />FEE <br />� - l � -�- <br />��)`!SV � <br />