Laserfiche WebLink
EL.ECTRIC�4L PERMIT APPLICATION <br />CITY OF E�ERETT PERMIT SERVICES <br />3200 CFDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettv�a.crg <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TU 4 PM - DEBIT & CREDIT CA.RDS ARE NOT ACCEPTED <br />� <br />ih <br />/ �I v � ,�� . ,� � <br />� �� <br />PROJECT ADDRESS �,_,�` <br />i./ d, r. <br />�dst �.�- L.��,,f) �. ��-�SJ_o1 ,�sS73�; <br />� 1 <br />�'li� �iri�1/i7r,.iA�'"��� ��%�.i � <br />Ownef Mail Address <br />City <br />Slale/Zip <br />Phone <br />Tenant Mail Address Cily StatelZip Phone <br />/ i � U <br />�/� ^ �� '�r:i �< /�r1C� !' �.��L�G1 ��„� ni �.:i- i�:. ;:Y �• . ,%�,.1 ��� {-4�.-t i..���✓ <br />Eleclrical Contraclor Mail Address City Stale2ip Phone <br />�r <br />��t_� l:.l.�'.Ol/I,�/.- / iJo,Oo <br />State License �umber I^ I� Cootrect Price o( Work <br />I � `! l , �� � �iNo C-O/V7�/ <br />Proposed Use of Building Contact Person (Plan Review) <br />� � + 1. <br />Description of Wor'r, to Be Done: l, !'��� %�� /��1� �� �% 5i L: ��• '` <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC GR AC CABLE. <br />CITY OF EVERE7T LOCAL SALES TAX CODE IS 3105 <br />1 he: eby certily that 1 have read and examined fhis application and know fhe same to be tru� and <br />correcL All provisions of la�vs and ordinances �ovrrnmg fh�s type o( work will be contple(ed <br />whefher specdied hercin or noL The granting o/ a pernut does not resume to give aulhon(y ro <br />violala or car.cel the provisions ol any other state orlor.al law m�uPting consfruc(ion or the <br />perlonnance ot conshuclion. That i arn aufhorized by the owner of this pioperty fo peAorm the <br />wnrk lor ��'�ich application is rnaae and I comply �vith the Stafe Contractors Law 18.27 RCW and <br />296.200 WAC. <br />C <br />'�`_ <br />FEE <br />55' <br />