Laserfiche WebLink
� C <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY iDF EVERETT PERMIT �ERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 6 AM TO 4 PM -DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br /> -�Svl ��!�,�0�2� ��L <br /> PROJECTADDRESS <br /> ,____� �'-�. ix-[ �z j <br /> �v�L-c C']r�,�zD►.�=�t�+LZ��rC�'� � P M�-��rN� t�JA 9S�v�`1 <br /> Ownef Mail Address City Stale/Zip Pho� <br /> �N�rt�s r�vk,� -h�� ���a j,�,, ;,�ti i',��-,,w,,.,� crz �,���c <br /> 7enant MailAddress city slalcrzip Pnone <br /> il��.z.(i-� ��nA�;�tyNtr-t�: J Etcc- �i u.'�u� �4 � Lk�c�tr�u.iui ��1� y2S•y�31'�� 1 <br /> ElectnCalContraclof AtailAddmss Cily SIaIMZip Phone <br /> PI�CIFC�� �-��I D�=i 2, ��«� . <<� <br /> State License Number Contract Price of Work <br /> �-�M._ <br /> Proposed Use of Building Contact Person (Plan Reviaw) <br /> Description of Work lo[3e Done: ti'1)� ..� tv�L-�� Lx?�I�t�iL �,..�-""(��N`TS F�T �'1 ��� <br /> P <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 J105 <br /> 1 hcreby ceriily fhat I havo read and examined fhis application and know(he same fo Ge frue and <br /> co�recf. �111 provisions o/Imvs and ordinancos govommg Ih�s fype ol work will be compieted <br /> whefhcr soecified he�ein or not. Tho grantiny ol a pamut doos notp rosumo fo give authonty lo <br /> violate o�'cance/the provisions ol any other sfafe or local law regulating construchon or fhe <br /> peAom�ance of cons(n�chon. That 1 arn aufhonzod by the ownur or this proporty lo perform the <br /> work!cr which application is mado and I comply witb7ho Sfalu Confraclors Lmv 1827 RCW and <br /> 29&200WAC. � / / <br /> ��-�'� � ��/ � C!/_1I L��� <br /> SignaNre- J / Date <br /> / � . <br /> � U <br /> E�fo� -iZ3 <br />