Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 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 />i <br />�r��;; / ��-.1y�C%^ `�7 -�t �1-- <br />PROJECT ADDRESS <br />Owner <br />Tenanl <br />A7ail Addross <br />Mail Address <br />City <br />City <br />!f �/15 . �i �l �:� <br />Slale2ip Phone <br />Slalr�Zip Phone <br />�� � < a: � rc -r,� f � S�-> j .E'�- ��'1^� .vF /j.y 1.�-�J 1 - � � t �- ��.�..-%' S'� �'�C, <br />EleclricalContractor MailAddress City Stale/Zip S/ S7 �4f'S"S/ ( <br />_ ti .�_, � - r-� `i �cG� 1-'/L <br />Stale Licenso Number <br />Proposed Use of Building <br />y� � , <br />�L-,- Z� <br />Contracl Price of Work <br />Contact Person (Plan Review) <br />DescriplionofWorkloBeDone: "--� ! �"-�1�'-v" � ,���=� -'S 7�-'_ <br />�1 � 1 ti>�- �- `rr o .�-� t=- C: ,-• -rl-1 � f��,c- 5 <br />— � . <br />�71 l -,�. .j.�� \ �� �c� �_ i' _ L l�uc_.0 <br />NOTE: WIRING 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 />1 heroby ce�tily thal 1 have read and ex�mined this application and know fhe same to 6e frue and <br />correcl. All provisions o(laws and ordinances 4oveming this typo oI work will be completed <br />�rhefhe� �pecified herein ornoL The granting o( � pennif does nof uesume fo give authonh,i to <br />violafeorcancel�he provisionso(anyofhersfateorlocallnwregulatingconstructionorfhe <br />perlonnance o/ conslri �cfion. Thaf 1 am authorized by fhe o�rner of this property fo perlomi fhe <br />woik lor which applicafion is made and 1 comply u�ith fhe Sfate Confractors Law 18.27 RCW and <br />296.200 WAC. <br />FEE <br />�� _ �(� <br />1° <br />