Laserfiche WebLink
ELI�CTRICAL 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 />; Zy27 ���``,�� - s� �or� <br />PROJECT ADDRESS <br />�/��c f�25 /��=���t������ s <br />Owner Mail Address City <br />Tenant <br />Mail Address <br />City <br />Slale2ip <br />State/Zip <br />Phone <br />Phone <br />�lh�'r 5 L'L E�crj� i� L L L 2�9/�i �,�vAt�x�u ,e� L-.tC�=; �ev4.r � Ld/r �d'z5� L/25� �iy' 3o�>Z <br />Eleclrical Conlractor tv1ail Address City Slate/Zip Phone <br />��/h� � S Ed y'D Z. /.�.� <br />Slate License Number <br />Proposed Use of Building <br />Descriplion oF Work to �e Dono: W I f�`� /L'� �/��'�� <br />Contracl Price of Work <br />Conlacl Person iPlan Review) <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TA?: CODE IS 3105 <br />1 hereby certily fhat 1 have read and exarnined this application and know the same to be true and �� L' � 2" v�� v <br />correct. /111 provisions o/ /a�vs and ordinances r�ovemin� this fype o( �vork wil! be wmplefed �- <br />n�hefher specifred herein or noL Tfie grantiny o(a pennd does not presume to give aufhonly to <br />violate or cance/ (he provisiens of any othersfafe or local law rec�ulating consfruction or the <br />peAormance ot construction. That 1 am authonzed by the owner of Ihis properly to pe�fonn the <br />woik lor which application is rnade and 1 comply �vilh fhe Stafe Confractors Law 18.27 RCW and <br />2f,6.200 WAC. <br />i � <br />% � , /�, ; � ! ` �`��(� <br />