Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />320� CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />1 �,�7 � � c �e�" t�-� e <br />PROJECT ADDRESS <br />Owncr <br />Tenan�. <br />C,� C�2CiY1� i <br />Mail Address <br />Mail Address <br />.ir�311n I01k��JCV...I <br />Electrical Contrector Mail Address <br />CJ� L�C�_ 90�1 �S <br />Stato License Numbcr <br />�t.,J �t[��r��.� F <br />Proposed Use o( Building <br />Gty <br />City <br />Cip�D��7a <br />wA �1&�?c3 �(2S�i�(�� <br />Slale2ip Phone <br />Stale2ip <br />Phone <br />il�n3ln �cc� �`i3-�4 ��- <br />Slale/Zlp Phone <br />� ���C���,> <br />Conlract Price of Work <br />Conlad Person (Plan Reviow) <br />Descripliono�Workto6eDone: I<���C�'`-E (1'tCi-Cf ����� �Q�� � ����r,`+,J- I(r,l.�.� <br />r <br />NOTL: W�RING IN NON•DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />y certily fh�f I have read and examined this applicafion and Fno�v Ihe same !o Ge (rue ond <br />. All pro�-isions of laws and orAinances governmg this f} ��e o! u•ork will be cornplefed <br />�r speciGed herein or noL The �rantina of a pemut does not �resume fo givo au(honty to <br />or cancel fhe provisions ol any olher sfale or local la�v ror�uleting consfrucfion or fhe <br />�iance o! conslruction. Thaf 1 am aufhoiized by fhe o�sner oI this property fo pedoim ihe <br />�r which anolication is mad�nd I comply wifh the Sfate Contractors Law I8.27 RCW and <br />)0 INAC. <br />� ; , ��� � �. <br />FEE <br />i <br />i� � � i�- ���Z. <br />