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 <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />7— r <br />J I I� U� � I,�-,;.,,, -� �-._, f� ��� � <br />PROJECT ADDRESS ` • <br />is <br />Owner <br />Tenanl <br />� �,' S � l,� 1.,�� n,ia <br />Mail Addross <br />M11ail Address <br />(1V �, Cv � <br />Clly <br />Cily <br />W� �Q��`_ <br />Slale2lp <br />Slate/Zip <br />4�/D_o� <br />C080��0 <br />Phone <br />Phone <br />.�,�cnssi� E/e'c �rir- � (� . !�x �`1U ���r`� �1 �,v(�1 QOZo Yas -3�I-�3c� <br />Electncai Contraclor Mail Address Ci1y SWtNZip Phone <br />��Ass�153 �u <br />State License Numbcr <br />'��osi c�a,�: F. <br />Proposed Use ol Buildinp <br />Descnplion of Wark to Oc Done: <br />NOTF: WIRING IN NON-DWELLINGS IS RE�UIRED TO <br />BE IN RACEWAYS, MC OR AC CABL[. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />Contracl Prico of Work <br />Conlacl Person (Plan Review) <br />f he�oby certily Umt 1 hat-e read and exc�mined fhis npplicalien and k��mv fhe same to be true end <br />co�recL All provisions ol la�rs and o�dinmices �ovemm� this type of �rork will Ge cornpleted <br />n�hethcr cpecified herein or noi. The �rantin� oV a pernuf does nof resume fo gire aufhority to <br />violafe a� cancel fhe provisions ol any other state or local /au� re�uPting construcfion or fho <br />perlommnce ol consfruction. Thaf I arn authonzed by tha o�rner ol this property fo pedunn fhe <br />work lor �vhiGi applicntion is m�de and I comply wifh the State Controctors Laiv 78.27 RCIM1� and <br />29G.200 lM1'AC. <br />��— �•-O <br />FEE <br />l,i <br />������ <br />