Laserfiche WebLink
� <br />ELECTRIC�L PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICE� <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org G� a,_� (� <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM C/06 6� D� 3 <br />�lll3 �%ti Gk- �� <br />PROJECT ADDRESS <br />L':GI''/%�� J,Jf-�L/J�/J%r L <br />Owner Mail Adtlress <br />7enant <br />�(l3 ��h��- �F� <br />Cily <br />PAail Address Cily <br />d/��5 /D.'"-�� /�1�'/,1� �c <br />Electrical CoNreclor � Mail Address <br />5l!/��JA�soE, �-�� <br />State License Number <br />���� <br />Proposed Use of Building <br />Ci�y <br />Description of Work to E3c Done: �G��^/�� �������" /-"�` <br />t'✓��E�. ti�F��� <br />NOTE: WIRING IN NON-DW�LLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CADLE. <br />� �2J-513- <br />�;'df%/e-C,� G�/iC. ��Zo� <br />StalelZip Phone <br />StatclZip Phone <br />rG!/� ��0i/ �/Ls-ys/-IG�Go <br />StatelZip <br />-.o <br />L�• <br />Contracl Price of Work <br />Contact Person (Plan Review) <br />CITY OF EVERETT LOCAL SALES 7AX CODE IS 3105 <br />1 hereG y certily fhat I hav�; read and ezarnined (his applica(ion and know (.e same fo be true and <br />correcf. All provrsions o( laws and ordinances governing (his type ol work will be complefed <br />whalher specified herein or noL The g�anting o/a pernul does not resume fo give authority fo <br />violate or cancel Ihe provisions of any olher sfafe or local law reguP6ng consiruction or fhe <br />peAorrnance ol cons(ructioa Thaf I am aufhorized by fhe owner o( (his Uroperty lo peAo�m fhe <br />work lor whic pp6 ation is made and 1 comply with fhe Stale Contracfors Law 18.27 RCW and <br />2ss.zoo w.�' r� <br />5�zs-; � <br />Phone <br />FcE <br />L��� �'�3 <br />