Laserfiche WebLink
ELECTRICAL PERMIT APPLICATI�N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everethva.org <br /> APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM <br /> � � V V L.JP���n_Uw� <br /> PROJECT ADDRESS <br /> M�" �l U ��,r �-c��n.e ✓ <br /> OWner Mall Address Gty SWtelLip Phone <br /> Tenant Mall Address Ciry SWte/Zlp Phona <br /> l l�.hH l� �\l Clu,�-v , c� stUJfwc�e.,i �l�e��4- �^-/�- at�'�zG3 yz'�-s3c�3c 3G <br /> Electrtcal Contractor Mail Address Cily State/Zip Phone <br /> CI�J� � � °IZ2 a � ��v <br /> State License Number ntracl Price of Work <br /> Proposed Use ot Bullding Contacl Person (Plan Review) <br /> Description of Work to Bo Done: �n ���/,� � ��b � �l �" 1�-% �vU�-✓� __ <br /> G ��-� L G1,1/��L�- <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO �E <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> �S � <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br /> 1 hereby cerfily fhaf 1 havo read and exemined this applica0on and know the same to be true and 1� I I ( I ' ^� � � <br /> correcf. A!I provlsions of laws and ordlnances govoming this rype ol work will be completed L. L <br /> whefherspeclfled herein ornot. The granfinp o/a permit does not resume to glve authorify to <br /> viola�o or cancel fbe provisions o/any ofher sfate or local law reguPafing construction or the <br /> perfortnance o/conslrucfion. That 1 am eufhonzed by the owner o/this property fo per/orm the <br /> work/or whlch applicafion!s made nd 1 comply with the Sfate Confrac(ors Law 18.27 RCW end <br /> 296.200 WAC <br /> , - J� , l � C� <br /> ��� ignature Dat <br />