Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, �NA 98201 (� —3-9 `-C9� <br /> 425-257-8810 - FAX 425-257-8857 -www.everettwa.org � 0 9a� -��S <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> I D� U � /� �(L �vc S� <br /> PROJECT ADDRESS <br /> �=1,'z�bPfh 7- IIv sG��- ' <br /> Ovmer � A1ail Addres,� City Stale/Zip Phone I, <br /> Tenanl A1ail Address Cily Stale/7_ip Phone <br /> yz S <br /> ��+-�. �-�vtiPa�� ��'ec�'n� LLC r+'S31 ✓/sf'.���=SE �Vevc� Lv� 1`�zo�' 337-300� <br /> Eleclrical Conlreclor� M11ail Address Ci1y State/"Lip Phone <br /> Stale License Number ConU�cl Price of Work <br /> ReS�d�Yr� /J�a � T�Her _ <br /> Proposed Use oi Building Contacl Person (Plan Review) <br /> Description o(Work to f3e Uone: zOl7 ,/-� Se✓ ✓� �y C�aHa,P <br /> NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> L_ <br /> CITY Of EVERETT LOC.4L SALES TAX tiODE IS 3105 <br /> 1 hereby certi/y fhaf 1 have r?ad and exarnined inis application and know fhe same to be true and <br /> correcL A!1 provisions olla�vs and ordinances govemmg Niis fype o�work will be completed <br /> whefher spea(ied heroin or nol. The gr�nfin�o/a pernut does not presume fo give authonty to <br /> violafe or cance!the��rovisions o(any other state or Incal law regulating construcbon or the , <br /> perfornrance ol cons.ruction. Thet 1 arn aufhonzed b}�the o�tiner M this property to peAorm the � <br /> work lor�rhich ap�i;cation is made aod I comply wifh the State Confractors La�v 18.27 RCW and 2� <br /> 296.200 WAG ��:) <br /> � ���; <br /> J��l._. � �ri�_ 6�z9�9 it�� <br /> � S1c�na re Date <br />