Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—wnvw,everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> �� � �l T�'��,en � t ��� <br /> PROJECT ADDRESS <br /> �z / a�G -a>� - <br /> l.�,C��c%a ��K�� S/�M � -� �/�' �3.�9 <br /> Owner ldail Address City tate/Zip Phone <br /> Tenant hlail Address City Stale/Zip Phone <br /> ,.�� sC�-��,�-9�1��' <br /> /�I,�v; I �nJ��,e�,c� zs _�,�/c l��. lJo-✓ l`� �J `�'/�2sv� �/6'9�;� <br /> Electncal Conlraclor M1tait Adtlress �City Sl�/Zlp Phone <br /> �,�,2 r/1�_Z 9�/ �,� `�/ll,d _" <br /> Slate License Number Cortrac(Prics of Work <br /> � S�� ����'.���,:� <br /> Propused Use of Buildin� Conlact Person (Plan Feview) <br /> DescripUon of Work to Be Done: ///•� pt- �yt� � � � ��j Y <br /> �'1'//1' r n <br /> / <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TJ FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> � CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br /> I hereby cerii7y thaf I have read an0 exariined lhis applicaficn and kno�v fhe same to be true ar.d <br /> correct. All provisrons ol la�rs and ordirrdnces c�oveming fhis type o!�vork will be completed <br /> �vhefher spealied herein or no(. The granting ol a permd dces not resume to gire authonty to <br /> viola(e or cance/!he pro��isions o/any other stafe or local law reguPling consfruc(ion or fhe <br /> �o�k 7or wlnch appl catiori is n,ade end I ornp y��t��th�e Stafe Ccntractors�La ti} ld�27 RCW and <br /> 29G.200 WAC. <br /> f`'�711���! ��/,/� <br /> Sgn, dre � �� <br /> � n��0 '��7 <br />