Laserfiche WebLink
{ <br /> ELECTRICAL PERMIT APPLICA�ION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857-wvuw.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> -��I <br /> J�� �/� �� S E lvei'c'-G� 9��? J� <br /> PROJECT ADDRESS <br /> y� / �� <br /> /-/-?_ j y>��i ��P�SI/�,�/r S/� %� �� SF c i��r��� l✓.ft %d�„2�� <br /> Owner Mail Address City State/Zip Phone <br /> Tenant Mail Address City StateZp Phone <br /> s�if �/��a:-,� �,� /5 3� �13 '���. ��� �e�-� w� ��.�� <br /> EleclricalContraClor MailAddress City State2ip Fhone <br /> s K r, � � r c' ��.�o � � � 9�� �o <br /> State License umber Contract Price of Work <br /> .S�/.�y,��` �.� �„ ' /y <br /> Proposed Us f Buflding Conlact Person (Plan Review) <br /> LJ / / <br /> Description of Work to Bo Dono: L ` � a� � �� � ���hF�� �•�/��Y�'�y�� <br /> � <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby certily that I have read and examined this application and know the same to be frue and <br /> correcL All provisions of laws and ordinances goveming thk type ol work will be completed <br /> whe(her specilied herein or not The grenting of a permit does not presume to glve authonty to <br /> violr+te or cancel the provisions o/any other state or local law regulating consfrucflon or the <br /> performance of construction. That 1 am authonzed by the owner of this�roperty to pedorm fhe <br /> work lor which application is made and 1 comply with the Stafe Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> � <br /> ��� v3 -- �-6 - /,p � po3 ' f ° <br /> Sig re Date <br />