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 —www.everettwa.org / � 7—O �' <br />APPLICATIONS ARE ACCEPTED FROM 8 NM TO 4 PM �--DSO�—D�3 <br />., /�5 �� l,�) ��\'�ia,'� <br />PROJECT ADDRESS <br />owner <br />Tenan� <br />G �l Sc�� �_i S <br />r,,��i nad«ss <br />1,1ai1 Address <br />I�t^ 1 � 1L �.V��' <br />�l � r_�- I� 1� r_ �� �� �c � <br />Slate License Number <br />Proposed Use of [3uilding <br />Description ol Work !o Bc Done: <br />Ci;y <br />Gh <br />�.5 -r' �. <br />Gly <br />✓��!�E1� , l�� . �� : <br />S�ate2ip <br />State'Zip <br />)l,_ NR Ur s��,' <br />���� (ate2ip � S � <br />I <br />Conlracl Price of Work <br />Conlact Person (Plan Reviewl <br />,�a� <br />Phone <br />Phone <br />NOTE: VJIRING IN NON-DWELLINGS IS REQUIR[D TO <br />BE IN RACEVJAYS, Iv1C OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I heroby cerfily fhar I have read and examined this application and kno�r Ihe sanie fo be true and <br />eorrecf All piavisions ollaws and orAinancos _qoveinurg fhie fype o/ werk �rill be complefed <br />whethe� specilied herein or noL Tfre granting o( a pernuf does nof resume fo giee aulhority fo <br />viola(e or cancel the provisions olany other stafe or local law reguPting conshucfion or fhe <br />perlormance o/ consln�ction. That 1 am authorized by the o�vner of fh�s property to perforrn !he <br />work Ior which apr�licalion is made and 1 comply wifh fhe State Contracrors La�v 78 27 RCW and <br />296. Z00 WAC. <br />, ...--� � c-; ��- ]�j' -- <br />�y <br />9 <br />FEE <br />�O�C�I � G� ? <br />