Laserfiche WebLink
� <br /> �LECTRICAL PERMIT APPLICATION <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 /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> PROJECT ADDRESS <br /> ;�/oi� � �-�/ Av� 5 E ���e�ett <br /> C'wner Mail Address City State/Zip Phone <br /> Tenanl Mail Address Cily State/Zip Phone <br /> �� Ky �. --���:y� �; � <br /> Electrical Contrector Mail Address Ciry SlatelZip Phone �'. <br /> `- � L-L�G I►Z' C 3 �3 Z� 3�5� �vb S�,/ T��e��u-� 9��b23 I <br /> State License Number Contracl Price of Work '�i <br /> c �� ��p-��43 K � Y� � J '�� <br /> Proposed Use o(�uilding Con act Person (Plan Review) <br /> Description of Work to �e Done: �� C� j� Gu I 1 yo v � � �. �C/Q� l� �L�T�'�/ <br /> NOTE: WIRING IN NON-DWELIINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOGAL SALES TAX CODE IS 3105 <br /> 1 hereby certily thaf I have�ead and examined Ihis application and kno�v the same to be hue and <br /> coirecL All provisions o(laws and ordinances�ovemmg tlus fype o/work will be complefed <br /> whefher spec��ed herein or noL The granting o(a permit does notp resume to give authonty to <br /> vio/afe or cancel fhe provisions ol any olher state or local law regulating construction or the <br /> performance, oI conslruction. rhaf I am aufhonzed by fhe owner ol this properfy to perform the <br /> work/or which application is made and I compty with the State Contractors Law 18.27 RCW and <br /> 29,'200 WAC. � <br /> �/j�1� L- �� Q � � �- (J " U� <br /> Signalure Date <br /> ��"'�= " � -7 C� <br />