Laserfiche WebLink
ELECTRICAL PEt�MIT APPLICATION <br />CITY OF EVE:RETT PCRMIi SFRVI; ES <br />3200 CEDAF. STREFT, [VERETT, WA 98201 <br />425-257-8R10 - F'AX 425-257-8857 - ww�ti�.everettwa.org � 07�1 �d�s <br />APPLICATIONS .4RE ACCEPTEU FROM 8 AM TO 4 PM <br />%���C� (��f � �re Z.� , �����.�e�, �<< z�adti �i� <br />PROJECT ADURESS <br />,�—�' S <br />Tenant <br />i� � z.�i,r'-a <br />t.tail Adtlress <br />Mail Address <br />�-l«�,�.�� � �« ��: �. �<'1��,�t � ��r� � <br />Electrical Conlraclor Mail Address <br />�� I 7 (v�G �'i <br />Slate License Number <br />/ / � `-�� F-� 5 . � �t�'tc_ � n ..� <br />Proposed Use o( Building <br />/ r/� <br />Descriplion of Work to Be Done: /��-�=• ES� �1� !��< <� <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />DE IN RACEWAYS, MC OR AC CABLE. <br />City <br />Cily <br />.y <br />��,<t,= �.� y���� r�iz�,�33�- <br />Statr;rZip Phone <br />StatelZip Phone <br />;:..��,��...:s l � <br />City <br />Stale/Zip <br />Contract Pnce of Work <br />Contact Person (Plan Review) <br />a <br />CITY OF EVERETf LOCAL SALES TAX CODE IS 3105 <br />I heieby ceriily that I have read and examined this application andlmou� (he same to be Vue and <br />r,oiiect All provisions o(/a�vs and ordinances �oveining fhis fype ol work will be complefed <br />�vhefher spealied herein or noL The �ranting o/a pernut does nof �resume to give aufhonty to <br />violafe or cancel Ihe provisions ol any other sfate or local law regulating conshuc6on or the <br />periom�ance o/ consfruc6on. That 1 am aufhorized by the owner ol this prope�ty to pedorm the <br />work lor which applicafiap is rna e�and 1 comply with fhe State ConVacters Law 78.27 RCW and <br />296.200 WAC., . �/ / <br />� <br />� <br />FEE � <br />�C/ � <br />t-� ��'�i-1,L`7 <br />Phone <br />