Laserfiche WebLink
E�ECTRICAL 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.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> � <br /> i���� � �+If � vU w � V� 2a� <br /> PROJECT AD�RESS <br /> ��,N; C�,vi r � Cvusi• M,a-atsvrll�' �3��GS3� ��'Y"4� <br /> Otvnef Mail Address City State2ip Pnone <br /> Tenanl Mail Add«�ss Cily State/Zip Phone <br /> I <br /> �c�;u� ;s ��� 1Sa�I �'�z �Rr��,; llc, t.vq� �js2zo CYzs ,�70- �3 �0 <br /> EleCtriCal ConlraCtor �dail Addmss City State/Zip Phone <br /> '� �•C���C��-' <br /> Ccf�rv �-� �fGyl3f� <br /> State License Number Contract Price of Work <br /> � <br /> Proposed Use of Building Contact Person (Plan Revicw) <br /> Description o(VVork to Be Done� � o,S� .� (D �I• ��G'�nl �FrS T' <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I I hereby catily fhaf 1 have read and cranrined fhis��p/�licafion and kno�r the same lo be true and ��'��'�' v�� � <br /> conect All provisions olla�vs cvnd ordinances yo:�erning fhis t}�pe o/u-oric �vill be corrtplefed <br /> �•;he(her specilied herem or noL The gran:ing of a pernut does no!presume to�ive aufhority to <br /> violale or cance!the provisions o/any other state or/ocal law regulating consVimfion or the <br /> pe�formance o/construcfion. Thal/anr aufho�ized by the owner o/fhis property fo perfonu fhe <br /> work(or u•hich applicafion is made and I comply with the Slate Confractors Law 78.27 RCW ard <br /> 296.200 WAC. <br /> -��:-�..��— 02/to/�aa y <br /> � Date <br />