Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION �, <br /> CITY OF EVERETT PERMIT SERVICES ' <br /> 3200 CEDAR STREET, EVERETT, WA 98201 I <br /> 425-257-8810 - FAX 425-257-8857 -v,nvw.everettwa.org I <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM i <br /> �/ ��"��� <br /> .���- �n�.�c/ Q� 5��„� ?� � <br /> PROJECT ADDRESS � I <br /> -" �7 �'�'��� ��k�T 9 � � <br /> ��IC,��a��� ��r� �sT�rT� �7 / <br /> Owner Mail Address Cily Slale/Zip Phone <br /> Tenanl Mail Address Ciry Stale2ip Phone <br /> �GS <br /> fsiz,a�vr � � I°� '� �9GY� �✓T uJi� 98��3 �,,�-J�I2 • <br /> ElectriCal Conlractor Mail Address City State/Zip Phone <br /> J�� <br /> �-n�c� �� i �i �63GL <br /> Slato License Number Contract Price ot Work <br /> Proposed Use of Building Contact Person (Plan Review) <br /> r (/� / r <br /> Description of Work lo Bo Done: .1�llS7?a'L L �OaIJl9 t�iT�� ��1�'7� /T� �C'vi/ <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> i BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I here6y certily thaf I have read and examined fhis applicafion and kno�v Ihe s�me to be Irue and <br /> correcf. AI(,�rovisions o/laws and ordinances govemmc�lhis type o(woik�+�ill be comp/efed <br /> whefher spaci�ed herein or noC The c�ranling o/a pernat does nof resume fo give aufhonty to <br /> violale or cancei the provisions oI any otfier stafe or local la�v ieguPting consfrucfion or flie � <br /> performance o(cons(ruction. T1iat 1 am aufhorized by tho ownerol this property to perfomi fhe I Z�� <br /> wodc I�r which application is made and 1 comply with the State Contractors Law 18.27 RCW and <br /> 29G 200 INAC. f <br /> .:;-,�-- / / � I <br /> .,�;;-�.i�:���� .' = 7/�4�D� �!�' <br /> slgnaw:r oat�— ; <br />