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 -wv,�w.everetiwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> �. �'f) I (��('� mOf� �-: v � <br /> PROJECT ADDRESS <br /> Owner r.lail htJ�ess city StaleZip phoce <br /> q y�i�. ].SJ� <br /> �,/c ��s rar,� �).$DI We�'Moit I��Q ��ere�'f' �,JA ! ��l 3>.30 <br /> TCnOn� 1.1�i1 Address Ciry State'Zip Phone <br /> 360- 75 �- <br /> �oin�"v � /�cfvic4.'h,� i3�tl.s� , ch�r 11d Gow wA g8'�5?r � 3oa <br /> E Ct�riGal ContraCtor fdail Address Cily SIaL!Zip Phone <br /> f�o s NT�1� r ��£' ,j7E $ '�I S� � <br /> Stain I.irrpca NpmbCf Contract Price of Work <br /> Proposed Use of Building Contacl Person (Plan Review) <br /> Description ol Work to Be Dons: __� f� � r-� ( �� �-�— ��� , � J � /� r � �^�,�2 <br /> �n_1 `T � I �li;� � I r {.� � <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. -� <br /> i I ." I <br /> CITY OF EVERETT LOCAI.SALES TAX CODE IS 3105 ` <br /> i 1 hereby certily that 1 hava :ad and eaamined this application and lviav the same fo be frue and E�� ���;��� — � L I <br /> correct. All provisions o!laws and ordinances yovernmg tlus type ol�sork will Ge complefed <br /> whefher specilied herein or noL The granfing ol a permrt does nol resume to give aufhority to <br /> vio/afe or cancel fhe provisions o/any ofher state or local law reguPfing construction or the <br /> pe�formance ol conshucfion. Thaf!am authorized by the owner o/Ihis propertV fo pedorm fhe <br /> work lor which applicahon is made an.i I comP�Y�'+ith the State Confraclors Law 18.27 RClNand <br /> 296.200 N�AC. <br /> ;; .� `1 — � e I ? ; <br /> Signalure Date <br />