Laserfiche WebLink
ELECTRICAL PERMI�' APPLICATION <br />� �. <br />PROJECT ADDRESS <br />Owner <br />Tenant <br />CITY OF EVERETT PERMIT �ERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS AkE ACCEPTED FROM 8 AM TO 4 PM <br />t� /'z-v L <br />tdail Address <br />Mail Add�ess <br />`" l/D `7 %j� <br />City <br />City <br />State/Zip <br />State/Zip <br />Phone <br />Phone <br />f��'� L/C"cfa: c. �LGI� 7�St-S� L` G�i u-ft �'^' �G� �`/1SJ�SSS�y <br />Electrical Conlractor Mail Address Cily State/Zip Phone <br />!�S � �l�X C�<..Z !3� <br />State License Number <br />1c:1, , ,,., <br />Proposed Use of Building <br />Contract Price of Work <br />Contacl Person (Plan Review) <br />Description o( Work lo Be Done: /"-�= fru �°r .,Z �j�. ��/� � L(...r� ;�j'�(' <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 />1 hereby certily thaf I have read and examined fhis applicafion and know the same to 6e frue and <br />correcL AU provisions o/la�vs and ordinances govermna tlus!ype o! work will be completed <br />whether speci�ed herein or noL The granting o/ a permit does not resume to give authonty lo <br />violale or cancel (he provisinns of any other stafe or local law reguPting construction or Uie <br />pe�fonnance ol consfrudion. Thaf 1 am authorized by the owner oRhis property to perform the <br />work lor which application is rnade and 1 comply wifn fhe Slate Conlractors Law 18.27 RCW and <br />296200 W9G. <br />—�s <br />