Laserfiche WebLink
� y <br /> 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 /> APP�ICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM � L. , ;� �! �� <br /> a � ����� � �� <br /> PROJECT ADDRESS <br /> �) (' i'� L � t l V C� (C� `=E_ ��1 C�- ' — — <br /> Owncr Mail Address City StatelZip Phone <br /> Tenant Mail Address City StalelZip Phone <br /> --�-lsiµ/�4��v-l��-�-I---.s�RV ' ! ,n � S�C�W d�,� �✓� !�� <br /> Electrical Contf ic�or I.tail l�Adress Qty State.2ip Phone <br /> _af���1�� <br /> Sla e License umber Contracl Price ol Work <br /> �t rKIKI�/bYl tD S/il���f7/N� <br /> Proposed Use of�uilding —7— Conlact Person (Plan Review) <br /> Description of Work lo Be Done: _4/� 1'P!� Q 1TON �'N S�� � i "� ��'1'"'� <br /> NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> ' CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby certily fhal 1 have road and examined Ihis.pqlication and kno�v fhe same fo be true and <br /> ronucL All prov(sions o/laws and ordinances governmg fhrs type ol woik will be completed <br /> �tiiefhcr specilied hercin or noL The granfing oI a pernuf does nof presume to give aufhont}�fo <br /> violafe or caocel the provisiais oI any ofher sfafe or local la�v ree�ulating construc6on or the <br /> perlormance o/consfrur,lion. That 1.m aidhorized by fhe ou�ner o/fhis property to perlorm fhe <br /> nvrk lo�which application is made and 1 compty�r�fh the Siafe Confracfors Law 18.27 RCVI'and <br /> 756.200 WAC. <br /> R � 1��� s �0 6 <br /> � � natur Date <br /> C� <br />