Laserfiche WebLink
ELECTRICAL PERMIT APPLICATIC)N <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 />c� �S �O <br />�/063-143 <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO A PM <br />10��� ��� � s-r �L � vr��', � �1 A - �3`ae3 <br />PROJECT ADDRESS �� ! L/. L>� �``? _\' �� � <br />l, (` J �� <br />Owner <br />Tenanl <br />Mail Address <br />Mail Address <br />c ��v�u � i• wr�- �v�� <br />Cily State/Zip <br />Cily <br />S�ate/Zip <br />Phone <br />Phonc <br />1' .ti1�Uf l <br />Electric2l Conlraclor Mail Address ,^,ity SlatelZip Phone <br />Slale License Number <br />C�:�1 c������ ' - <br />Proposed Use o( Building <br />Contract Price o( Work <br />Contacl Person (Plan Review) <br />Description o( Work lo �e Done: C)1 � O, ��7CV�,t1' i� hA �_ (��1 d_ �'1� A Y'i O 4� <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS �105 <br />I he�eby certi/y fhaf 1 have read and exarnined (his �pplicafion and know the same to 6e Irue r,nd <br />correct. A/l provisions ollmt�s and ordinances govenurrg this type o/ work will 6e complefed <br />�vhether speci6ed herein or noL The granfin� ol a pernuf does nof reswno fo ,qive authonfy fo <br />violafe or cancel the piavisions oI any otlier stafe c: local law reguPfing construdwn orfh�i <br />pe�fonnance oI consfruction. That I am autho�ized b}� ;he owner o/ this property fo perfomi the <br />work lor which applicafion is made and I comply with fhe State Contractors Law 18.27 FeClYand <br /><d6.200 WAC. <br />FEE <br />�C7C3 — � G� <br />