Laserfiche WebLink
( <br /> 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 /> APPLIC.4TIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> '3� 'TE�?"'`U.�A�� f�.`7E . <br /> � Wa� <br /> PROJECT ADDRESS <br /> �-c� ��rr- l�� 1�X �38 � �- 982do <br /> Owner Mail Address Clty StatefZlp Phone <br /> Tenant Mail Address Clty StaleZp Phone <br /> Qc�T � � <br /> Electrical ConVaclor Mall Address Ciry Slate/Zip Phone <br /> [—�G�"� <br /> Slate Licanse Number Contract Price of Work <br /> ����� �� ��� . <br /> Proposed Use of Buildfng Contect Person (Plan Review) <br /> Description of Work to Be Done: ��—'��T �' �� - �—���C'���� � <br /> I�K�F�"7 N c�e �Y'�'f�S <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO �E <br /> BE IN RACEWAYS,MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby certi(y fhat 1 have read and exemined this application and know fhe same to be hue and <br /> ��rrect. All provlslons o/laws and ortlfnancas goveming thls type ol work wlll be compfefed <br /> whefher speclfied herein or not. The grenting o/a permR does nof presume fo glve euthority to <br /> violafe or cancel fhe provisions oI any other sfate or local law reguleGng construcGon w the <br /> performance o/const tion. 7haf 1 am euthonzed by the owner o/fh(sproperty to perlo�m fhe <br /> work/or whlch n is made and 1 comply with the State Confrac(ors Lew 18.27 RCW and <br /> 2 . <br /> 11�� �l � ' / �/ �� / <br /> Date <br />