Laserfiche WebLink
�LECTRICAL PERMIT AP�LICAT�ON <br />CITY OF EVERETT PERMIT iER:�ICES <br />32G0 CEUAR STREET, EVERETi , WA 982�1 <br />425-257-8810 - FAX 425-257-8857 – www.everettwa.org <br />APPLICATIONS ARE ACCEP7ED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />�. �- <br />i� f / `; =, -,' l� / -�^ ;%C– <br />PROJECT ADDRESS <br />��� r�' , . r .'� /.. _ �-�'� 3�.� i�,�,� . I�� ,/.-. ; �._ �� •i � ° C,i � p j /iZa -1�i i— <br />�- <br />C�•m�r L1ail F,dcrcc� Clty State2ip Phone <br />Tenant Mail Address City State/Zip Phone <br />� ��% � <br />- �/%4'' �� ��.i— 7'r /�ISY �rc'r�t `� �� ���� 7 G �'��� ✓�/%��+— / `''� % � Z� ( <'f � j —Z <br />Contrector <br />i ��. /�; -> <br />�—��' /; %'/L 7 S � � <br />State License Number <br />� <br />�7 r`;(l�i�-iC�C= <br />Proposed Use of Building <br />Description of W ork to Ee Done: <br />Mail Address <br />-) <br />� /' <br />✓ �? <br />� � � -� <br />/ . , i- <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />City State/Zip <br />,. � <br />�..fi�,/J—_- <br />Contract Price of Work <br />Conlact Person (Plan Review) <br />.. <br />_ � ; ^(" : I . f ' � .S i,j �" <br />CITY OF EVERETT LOCAL SALES TAX CpDE IS 3105 <br />1 hereby certily that 1 have read and examined this applicafion 2nd know the same to be true and <br />correct. All provisicns of ld�ms and o�dinances governmg this type of work will be completed <br />whether specilied herein or not The granting of a permd aoes not presume fo give aufhorrty to <br />violate or cancel the provisions of any ofher stafe or local law regulatinu construction or the <br />performance of construcGon. 7hat I am authorized by the owner o! this property to perfo�m the <br />work for which application is made and I comply with the State Contractors law 78.27 RCW and <br />296.200 WAC. <br />_.� � ,- <br />`: �-, - �-;�;`� �'-; �_ _ �- � <br />, <br />L � ` <br />FEE <br />� <br />c � <br />� <br />Ynone <br />� '� � <br />