Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETf, WA 90201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM O, - i Z-vQ <br />.3y�a �y�h��c N�-� <br />PROJECT ADDRESS <br />J?�l � �� vI �o ���% 3 Yoa -s�fT�,A �c � ���'e�t,�A-9"� <br />Owner <br />Tenant <br />Eledrical Contractur <br />I�7ail Address <br />Mail �ddress <br />A1ail Add�ess <br />€LE�T�5��99�K <br />Stale Liconse Number <br />Proposed Use of Building <br />Clly <br />City <br />SlalelZip <br />2�' <br />Stafe/Zip <br />State/Zip <br />�/v�u . � <br />Conlract Price ol Work <br />Contacl Person (Plan Review� <br />Phone <br />Phone <br />Description of Work to �e Done: �U%U �O Gtl-e/l %(j /j/G=(�(i ��I ,v��S�L <br />STOOQAP� //V/U%r <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RA�EWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 he�eby ce�iily thaf 1 fiave read and ezarnineA this applicalion end know fhe sarne to be true and <br />correcL All provisions o( la�vs and ordinances ,qorem�ng this fype o/ work will Ge wmpleted <br />rvhether specilied herein or nof. The granting oI a pemuf does nof presume to give authonty fo <br />riolafe orcancel (he rrovisions ol an}• ofher sfafe or local law regu/afing consWctron orihe <br />perlom�ance ef cons�ruction. Thaf ! am eidhorizeA b}� the on�ner ol fhis property to perfonn fhe <br />work lor which applicafion is mado :+nd I cornpl}� �rifh fhe State Confrac(ors Lo�v 18.27 RCW and <br />�or, �nn iaiar. <br />FEE <br />E�svB-c,3 <br />