Laserfiche WebLink
6 I <br /> ELECTRICAL I'ERMIT APPLICA►TION ' <br /> CITY OF EVERETT PERMIT SERVICES , <br /> 3200 CEDAR STREET, �VERETT, WA 98201 <br /> 425-257-8810 - �AX 425-257-8857 —wv✓w.everettwa.ory <br /> APPLICATION; 4RE P.CCEPTED FROM 8 AM TO 4 PM - DEBlT& CREDIT CARDS ARE NOT ACCEPTED I <br /> fh <br /> �OZ ���� S-4-S.E . Lo i Z `'I <br /> PROJECT ADIJRESS <br /> � S � ��c�.r � Cf e e lC <br /> Owner Mail Address City State/Zip Phone <br /> Tenanl Mail Address City StatelZlp Phone <br /> � �— L���� <br /> ye� ;�, �'�,��er `�.�c '-�q2,� S�� n�«��r � t,Q.�<<..CI Wa�to,zY� �3� .75' 7Z <br /> Electrical Contraclor Mail Address Ciry State/Zip Phone <br /> � <br /> �. u��H ...�e=°.. N`� <br /> State License Number Conlract Price of Work <br /> �jC S� d-f n� �c. ` <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work to Be Done: Iv�W ��.LW�C L�� v �4�^ � � ��✓i�Q <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR P.0 CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby certily that I have read and examined fhis application and know the same to be frue and <br /> correct All provisions oflaws and ordinances govemmg this type of work�vill be completed <br /> whether specilied herein or not. The granting ol a permit does not presume to give authonty to <br /> violate or cance!the provisiors of any other state or lucal law regu/ating construcfron or the <br /> pedormance oI censtruction. That 1 am authorized by the owner of this propeRy to peAorm the <br /> work lor which application is made and/comply wifh the Slate Cuntractors Law 18.2!RCW and <br /> 296.200 WAC. /r <br /> / � // <br /> ,�� ,,l�c��/L�____ � ��� . �' �' <br /> �6ignature �-� <br /> / J <br /> � J C.�, <br /> J`i � <br /> � _— <br /> , ,,._. ..: � —...> ,.. <br /> +��..n���Sr'�aS-Y..iF.�- �� �uwa+�u..�+�.�av�ula9".Y�fASN��.:.. , .. . �.. . � _ . -�. .p'� . ��.. <br />