Laserfiche WebLink
� � <br /> . <br /> , <br /> ELECTRICAL 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 - DEBIT&CREDIT CARDS ARE NOT ACCEPTED <br /> l�ylq Iqt" (��Y�, 3tP A - y � �pnr�-X. <br /> PROJECT ADDRESS <br /> Owner Mail Address Cily Slale/Zip Phone <br /> t.�Y� S�cr1Q lr�t_tY r�i �I.l� �ox `i3C)OC� �l ���b.�:g._l.lY1�S�1 _ <br /> Tenanl �Mail Address Cily� Stale/Zip Phone <br /> �Lu„ n� I n I ..nlr�i�P �4�1�3 �9�' Q.�e `'� lir �m�ater, ���r�.AP,. �a _ <br /> ElecUiC Co lractof MailAddress Cily StatelZip Phone <br /> 3E0-3S7-�I��� <br /> �U��" /J`�(v—� ��i' �.� , � :.�— 1 I�()(�. (>L> <br /> Stale License Number Conlract Price of Work <br /> �/Ltf lY\ <br /> Proposed Use of Building Contact P on (Plan Review) <br /> Dr.scription of Work to Be Done: �('1�('OT CLf�. rCA.h�U1 G <br /> NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br /> 1 hereby certily that I have read and examined this application and know the same to be true and <br /> correcL All provisions ol laws and ordinances goveming this type ol wo�k will be completed <br /> whether specilied herein or not. The granting ol a permd does not presume ro give aufhonty to <br /> violale or cancel the provisions o(any other state or local law regulating construcfion or the <br /> pedormance ol construcfion. That 1 am authorized by fhe owne�ol this property to pedorm fhe <br /> work lor which application is made and 1 comp/y with the State Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> . 1� � '�Y 1}� <br /> Sig ture Date <br /> Eo�ta-�a� <br />