Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 32U0 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857-www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 0 AM TO 4 PM <br /> h� a2 �a�r�_ sr �,e <br /> PROJECT ADDRESS <br /> �ZS� <br /> B/L//rN�J.9.�✓� L��ea,�2 SGO� iv��ro.¢,i.�vr�a��'l �.�� �Bze�s JS-s —�Si j <br /> Owner �.tan Aearess Cny sute2W vh«re <br /> Tenanl Mail Address Gy State2ip Phone <br /> �.�'/ G 5 �G_,' L P�C� �3// /E���STsd[r S•f/6BarJi�.r f /�.6 9�'9� 3�D��z�fb <br /> Electrical Contraclor Mail Address Gty Slate/Zlp Phone <br /> r2/G S,¢.?-9309 <br /> State License Number Contrad Price of Wotk <br /> S�.� � <br /> Proposed Use o(Buildinp Contad Person (Plan Review► <br /> DescriplionofWorktoBeDone: � D/�4/ /'�r�c [�.�e � T Gi/J ,��x <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO �E <br /> BE IN RACEWAYS,MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br /> 1 hereby certily fhat 1 have read and exemined this epplicatfon end know fhe same to be hue end <br /> correct. All provisions ol laws and ordinances goveminp fhls type o�worlc will be complefed <br /> whether speci�ed hereln or not. The granting o/a permrf Aoes not pres�me fo glve aufhority to �( . <br /> violafe or cancel the provisions ol any other state or local law regulating cronstrucGai a fhe l!/ <br /> pe�formance ol constniction. That 1 am authonzed by the owner o/fhls property fo peAortn fhe � � T <br /> work lor wbich application is made and 1 comp�y with fhe Sfafe Confrac(ors Law f8.27 RCW end 1 O <br /> 296.20G WAC. r 1 <br /> �v,_ �, � - � — �'/�/�� � I <br /> Signature Date <br />