Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-6857 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />1�ilq SYnrs_ - �,�c;} -,w� 9,,.�� <br />PROJECT ADDRESS <br />f%_ • i � i. l_r` _!", � � i, � � .%y' `� r'/�' ` �1�1i �iFl<'c y:-r - y . �:�, <br />Owner �1ail Addross Cily State/Zip Phone <br />Tenanl <br />Mail Address <br />Cily <br />Slale/Zip <br />Phone <br />iv tirr � F� h� n� c, ,l>>�� .%� �' Dk sE C✓r_ �r_-r �,�A Rhz�n y:� z=;� .- ;; -,• <br />Elecirical Conlracbr Mail Address City State2ip Phone <br />Slalo License Number <br />�-' ! n I ! I [ ��, ','. � - � � . T ,,� � t- <br />Proposed Use of Duildiny <br />Descnption of Work �0 6e Done: � ���- � <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY O� EVERETT LOCAL SALES TAX CODE IS 3105 <br />m <br />Contract Price of Work <br />_4t,- �CF_a�.Kq� .r. <br />Conlact Person (Plan Reviewl <br />1 hereby cei7ify tl;at 1 liave read and exomined this application and know the same to be true and <br />con�ecL All pro��isions olla�vs nnd ordinances yovemrng this fype o! work will be completed <br />whefher spea6ed herein or noL The granfinc� ol a penrut Aoes nof resume ro give authonty fo <br />violafe or cancel the r�rovisions oI an}� ofher sfafe oi local /aw reguPting consVuclion or the <br />F�rfomiance o/ consln�ction. Th�t I am authorized h}� Ihe o�vner al fhis property to perlonn the <br />wak lor which application is m.�de and I comply �ri(h Ihe Sfafe Cenf�acfors Law 7827 RCW and <br />29�.200 WFlC. <br />FEE <br />;= c(c I� -I(r.� <br />