Laserfiche WebLink
� <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVEFiETT, WP, 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.o�g <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />�Qn 2 7_ - 2- 7%L' lJl' .S � � ff <br />PROJECT ADDRESS <br />Owner <br />Tenant <br />Mail Add�ess <br />Mail A:ldress <br />y917 � <br />CoNraC�or Mail Address <br />f�R,CG-�l �Z y�� c� <br />Slale License Number <br />��n <br />Proposed Use ol 6uilding <br />Descrip�ion o( Work lo Be Done: <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 3105 <br />Ciry <br />Gty <br />c�,�, .� �30 <br />Cily <br />L <br />Sla�elZip <br />State/Zip <br />StatelZip <br />Phone <br />Phone <br />-Z9S� <br />Phone <br />p0 <br />L�� r�b -- <br />Coniracl R(ce of Work <br />Contacl Person (Plan Reviev�) <br />I hereby cerlify Ihat I li�vc �ead and excimined fhis applicalion and kno•;: (he same to be bue and <br />correcC FlII piovisinns o(larvs and ordintinr.es qoveming this f}�pe o/n�odc �vill be corupleted <br />�vhetlier speci6ed he�ein or noL The yrnnGng tiI a pemul docs nof p�esunte to givc auUtonf}� lo <br />viola!e or cancel (1ie provisions oI any other sfate or br.al In�v iegulating cnns6uc6on or the <br />pe�fonnance ol conshuclion. Thnl I am au(ho�izr.d b}� tho o•�vner ol fhis p�o��aty to perfomr (he <br />�vork lor u�Hich applicafion is madc and I compl}� u�ifh Ihe Strrtc Cnnli�iciors Laiv 18.27 RCW and <br />29&200 WAC. <br />FEE <br />��IZ-1k��/ <br />