Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 �Z /� �l <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEf-TED FROM 8 AM TO 4 PM <br /> � II -1 G.�ETrnvRE <br /> PROJECT ADDRESS <br /> t'T���� i'�l'� <br /> Owner � Mail Address City Stale/Zip Phone <br /> Tenant Mai�Address City Slate/Zip Phone <br /> �r�nr��rE�Cc."�1 � 62��� 2k,1�T�r ni ., s�-w�►wooD w�\ ��2�2 ��s7�, <br /> Elecirical ConUactor Mail Address Cily Slalo/Zip Phone <br /> ii �Mlf�l1E1 ��- ��U <br /> Slale License Number Contract Price o(Work <br /> Propos�lding Conlacl Person (Plan Review) <br /> Description af Work to Be Done: �1 K-� N El�..� �XAS �UQ��"�� <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ceriify that 1 ha��e read and examined this applicnfion anJ know fhe same to 6e true and ����Z— �3 � <br /> cortect All piovisfons ot laws and ordinances govemmg this type o/worlr will be completed <br /> whefher specified herein or noL The granfing o/a pem�d does nof presume fo give authonty to <br /> violate or cancel the provisions olany ofher sfafe or local law regulating construction or the <br /> perfomiance o/conslruction. Thaf 1 am authonzed by the avner ol this property fo pedorm fhe <br /> work!or which applicafion is made and I compty wifh fhe Slate Contrac(ors Law 18.27 RCW and <br /> 296.200 WAC. <br /> � � 12- 21 - 11 <br /> Signa re Date <br />