Laserfiche WebLink
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.ora <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />5 � lL� I�,��,� <br />PROJECT nDDRESS <br />i <br />,J ,, i_1,.� <br />Owner <br />��'��i�,;�(/15�� <br />Tenant <br />��. C. f L= JC(���.� <br />Electr.cal CoNractor <br />;; <br />Mail Address <br />Mail Address <br />,'_-Lr'�'j���rC i��� <br />M14ail Address <br />. <br />�) L ��� � � f �c��p�. <br />State License Number <br />� �r' �� <br />Proposed Use oF Building <br />City <br />City <br />Sta�e/Zip <br />SlatefZip <br />Phone <br />Phone <br />.� � � > > �-� � �.J L Y;v.v�u � a� <br />_ �_ j3�- �- <br />City State/Zip Phone <br />Contract Price of Work <br />r (. - �. <br />Syuare Footage Qf residen�ial new construciion, remodel or addition) <br />Description of Work to Be Done: LUt !-^C /��l:� �,j f� <�� L` <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 />Contact P: rson (Plan Review) <br />1 liereby ceRily that 1 have read and examined this ap/�lication and kno�v fhe same to be tnie and <br />c�irrecf. All provisions o//aws and ordinances gover.ung fhis type olv✓ork �vill be completed <br />r,liethersnecdied he�ein or rroL The granting o! a pennd does not p�esume to give authonty to <br />violafe o� cancel the provisions o(any other state or local law� :egul[iting consfniction or the <br />perfonnance o1 cons(n�ct�on. Thaf I am authorized by the o�vner o(fhis I�roperty lo pedonn the <br />caarfe (or which application is made and I comply wdh the St�te Contractor Law 18.27 RCW and <br />29621�P WAC. <br />, <br />� �/- • <br />' � – � — �; <br />� �' �-.�t . - i - <br /><R�- x <br />FEE d, <br />PP <br />�o � � <br />,',�� r 3�(- o3g <br />