Laserfiche WebLink
ELECTI�ICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SE�VICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />� -.�O -U7 <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />� 0-�o;4-.ao� <br />, --% ' <br />.. <br />��'-t-l_= , 'i — <br />PROJECT ADDRESS <br />owner <br />Tenant <br />��� �c� rJ <br />Mail Address <br />Mail Address <br />�1 <br />CiPy <br />City <br />Stafe/Zip <br />State/Zip <br />Phone <br />Phone <br />'_!G� <br />( /'!� �r �r�i+.�/% ct' /�:% <�I :� /�: L �%I/,!-/ � ii(i'�T �'Gf- �.� :i-:. '�'lri� <br />Electrical Conlractor Mail Address Ciry Slate/Zip Phone <br />, <br />-�� ; , � � � � �— <br />Slate License�Number <br />/J/ <br />I llc.::;c�= , ,r�r.;� <br />Proposed Usa of Building <br />�� ,.-- '_� - <br />Contracl Price o( Work <br />Contact Person (Plan Review) <br />Descriplion of Work lo Cie Done: � l'�O� iLC ��Z-���%F_ ����—�7 <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY CP EVEREIT LOCAL SALES TAX CGDE IS 3105 <br />1 heraby certity fhaf 1 have read and examined this applicclion and k�ow the same fo be (rue and <br />correcL All provisions o(laws and ordinances govermng this type o( work will he complefed <br />whe,ther spen(ed herein or noL The gran(ing oIa pennd does nof resume fo give aufhonty fo <br />violafe or cancel the provisions ol any other state orlocal la�v reguPting coiistruction orthe <br />perfr,rmance o( construction. ihat 1 am authonzed by the ewner o/this property to pedonn fhe <br />�vork lor which application is rnade and 1 comply wifh the Stafe Contracrors Law 18.27 RCW and <br />2962001NAC. <br />FEE <br />_i �L/- <br />� ', <br />Sic�nature Date � '� <br />r . <br />' �I)�% <br />�6 <br />