Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 � _ ap - C� nr <br /> 425-257-8810 - FAX 425-257-8857-www.everettwa.org <br /> �o `Id �"`'�l <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 31J ��ue� � -�. <br /> -�-t�--�� ���,J=;L�.-4�-Tv-� <br /> PROJECT ADDRESS <br /> (�� <br /> �M �,r�1�Kl.►- �•, rv.�,�...�,� `I1� 3 • f�� •- St �=,,�.s��{ f�n�, . �1Y�oy iL>`.. �55' • �ll <br /> Owner Mail Address Ciry State/Zip Phone <br /> . <br /> �v1�.i�ti�� �.�''M\ini.uk- t� l �,-� - �Ct��ti 5� �Uc� ��� �A �yZl�� '�LS .. I>'"'� ' G `II <br /> Tenant Mail Address City Slate/Zip Phone <br /> L� - �.�,.,, .. �'l....1�� , .. � Zi,� � SM ,JI, �'u �<II;�,1..,� �J� �YZz� 34o�ss�1 -95 � <br /> EledricalContract r MailAddress City Sta�e2ip Phone <br /> � : �l.��z� �5 � U � <br /> State License Number Contract Price of Work <br /> � �� S ,j� ,� <br /> �.-., <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work ta Be Done�. �� M p l.G' 7J�I f C'��i r'�� �p t�t.✓ <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. ��^ <br /> � �� <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 / ,(� —7 <br /> I he�eGy ceridy fhat/h�ve read and eramined this application and know the same fo be Inie and �—-V ! �� �' � r� <br /> conect All provisiurs olla�vs and ordinances govemuig this type o/�voik n�ill be completed <br /> �vhether specified herein or no[ The granting o/a perrmt does not resume to give airthonty fo <br /> violate or cancel the p�ovisions ol any otlier state or local iaw reguP(ing construction or the <br /> perforrnance ol construcfion. That 1 mn au(honzed by the o�vner oI(his property to perfonn the <br /> woik/or which appli is nmde and I compty with the Sfate Confracfors Lmv 18.27 RCW and <br /> 29620 WA <br /> � ._� 0 /Z�' � ��'� 1 <br /> Sig lurc Dat <br />