Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br /> CITY O� EVERETT PERMIT SERVICES a�_ �/ <br /> 3200 CEDAR STREET, EVERETi, WA 98201 � ` <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org �=r/p 1—D�� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> J�D/ c��»���� �1�� �� '�`/-/c.,,� <br /> PROJECT ADDRESS <br /> C:�� C�d= ���F�C�— <br /> Owne� Mail Address Ciry Stale2ip Phone <br /> r <br /> ��Il���by.-i>,��✓r� ELc%i;� /�c.v�T ����ap�r4 cc�d <br /> Tenant �r� �7ail Address ' City Stale2lp Phr,;ie <br /> � '"� <br /> �-�•F �l�� �- �> >—�,� , { oY'x�C �7c< f��rl�ux'� � ' l�A `�if21a 3GoSc8oSo� <br /> Eleclrical Conlracto� Mail Address �ty Slale2lp Phone <br /> . -+FP �� COQ �'� <br /> H�'����j C� 7/:/�' <br /> State Liconse Number Conlrect Price of Work <br /> 'i�«�Oh�c��R�t . <br /> Proposed Use o(Building Conlacl Person (Pla Review) <br /> ` ` 1 �-_ .— � s� - <br /> Dascnption of Work�o Oc Done: L1J5`i f1Cl )v�� �-C�.DLC� �b Q_ �A(�S � �1 ��l <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY nF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ceriily fhaf 1 have read end a.;arnined this npplicafion and kno�v fhe samo to be froe and <br /> corrocL All provisions ofla�vs and ordinances govenung fhis type of tvork will be complefed <br /> tvhefher speci!ieAherein or noL The granfing c/a penmt does nof ues�rne fo give aulhon!y fo � / <br /> violafe or cancel thep(ovisions o(�ny ofher sfafe er local!uw regulafrng wnstrucfion or tho lG <br /> perfonnance of constr�u'cfion. Thot I am authorized Gy the owr,er of fhis property fo pedomt fhe I _�' <br /> �vo�k ler which applicAtlon is nmdb and 1 compty�rifh fhe St�fe Contractors Law 7827 RCW nnd i 1 C <br /> 29E.200 WAC. ! ' � <br /> � <br /> �"�':y i -j�'(,��.1 / •z/� <br /> �/Sic�nalu�o � Date� <br />