Laserfiche WebLink
� <br /> ELECTRICAL PERMIT APPLICATI(�N <br /> CITY OF EVER�TT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.everett.va.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> �;� � �' j �� ' ��(� Jj ��� I ��l <br /> J 1 �' <br /> PROJECT ADDRESS <br /> �;� 7z`� -`Iti��. <br /> �U�:,�l l'l`���u4�hl„-� ���73�� ��1°� �ti,.�� ��; �_�t+�- w� �ts���>�, — <br /> Owner' � Mail Address Clty State2ip Phune <br /> Tenanl Mail Address City State2ip Phone <br /> , \ , �- <br /> ,�����.�� : � �.�� ���r- ,��� ,�������_ <br /> Elech ical Conlraclor Pdail Address City Slale/Zip Phone <br /> State License Number Contracl Price o(Work <br /> Proposed Use of Building Conlact Person (Plan Review) <br /> Description of Work lo Be Done: � � ���.0 E� L���� C��F(�l`���� _1�1,✓��� � �U� L�'�' . �� <br /> � I > J <br /> ,I� �(�c�t�iC c� � -��u� ( . <br /> i NOTE: WIRING IN NON-D\VELLINGS IS REQU�`�ED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby cailily(hat l liave iead and examined fhis application and know the same to be t�ue and <br /> correcL All provisions ollaws and ordinances governm,r this type o(work�vill be completed <br /> whefher speciGed herein or noL The granfinr�ol a pennit does not resume to,qive aurhonry to <br /> violate or cancel Uie provisions oI any other state or loral law rec�uPling construcfion or the <br /> performance o(construction. That I am authonzed by the oivner of this property fo perform Ihe <br /> work lor which applicafion is rtiade and 1 comply�ti�ifh fhe State Con6actors Law 18.27 RCW and <br /> 29G.200 14�A G . <br /> ' N � y � � � <br /> � �� � _�� <br /> �,'l� i ' ���' ���� r ;�i. �':� Cl �� ����� <br /> Sic�haWre � Date <br />