Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 32('0 CEDAR STREET, EVERE7T, WA 98201 � _ J � , �� <br /> 425-257-8810 - FAX 425-257-8857-www.everettwa.org _ <br /> � �/c'.�- /?(i <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> , <br /> .> (_�C � 5�,� , ,,� J' ��.'.�� <br /> PROJECT ADDRESS <br /> ir` ( ( <br /> , �-��,�i� i- `7 �� r.� c. (' � SC'�� C /Gti✓l+t���'�' �=vr.'i �`f C,i�� � d�C-<,d� � <br /> Owne� Mail Addross Cily State/Zip Phone <br /> Tenanl M.,il Address City StateZp Phone <br /> ��L. �� t /t'�� �i. � J �� ( `�>�t/ Z < <�Y.,�,�, /��= L��-,.�/vlz, �/f l�-/� %d'2s� ! <br /> Eletlri�al CoNraClor A1ail Address City S�ate/Zip i Phono <br /> � t S b' 7U S�/ Y-y._ <br /> �-'- � , .;J- ( ... � C� � �-,_� . 4�_•�� _ <br /> Slalo License Number Conlract Prico of Work <br /> Proposed Use of Building Contacl Person (Plan Review) <br /> Description oI Work to Oc Dona: /�f��_{�. �. �-��� / L%c�/ �'r / '- � •� c� � 5[v� �� �� <br /> I <br /> NOT[: WIRING IN NON-DW[LLINGS IS REQUIRED TO fEE <br /> BE IN RACEWAYS, MC OR AC CAf3LE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereGy certily fhat 1 liave read and m�;vmirteA this applicafion and kno�v fhe samc fo be true and �-' I I � ! �� <br /> conecL All provisions ol la�vs and ordinances goveminc�this typo o!n�ork ivill be complefed <br /> �rhelher speciGed herein or not. The granfing o/a pennd does nof �resume fo giv�aulhonty(o <br /> violate or cancel the prorisions o!any ofher state or local law re�ulafinr�cnnsfructwn ar fhe <br /> peilorrnance oI construclion. That!ant autho�ized b}�fhu rntiner ol ihis properiy fo pedo.an Iho <br /> �vo�h lor�vhich applica(ion is made and I cornpty rvifh fhe State Confracfors Law 18.27 RCW and <br /> 29G.200 WAC. ��--' <br /> - - /�� �_ _:.� �� S j� �i /�� <br /> - _ �� �� , <br /> SignaNre " Uale <br />