Laserfiche WebLink
. _ <br /> ELECTRICAL PERMIT APPLICATION <br /> C17Y OF EVERETT PERMIT SERVICES ��. 6�ii <br /> 3200 CEDAR STREET, EVERETT, WA 98201 ��/05 `��� <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org <br /> APPLiCATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> „ r , , . , <br /> � . , ;" <br /> PROJECT ADDRESS <br /> OWf1Cf A1ailAdA«�ss Cily SlalC2ip Phone <br /> � � - � 1�.v ��. ���f- - <br /> TCn3n� Mail Addiess Cilp Slalc/Zip Phone <br /> t <br /> �f , � i,.�' c l�� l � � +�� �,�_ ti .. ,�. ,� �:�i c,y„� y�'; ;3y��fs�- <br /> r < <. ,; <br /> Eleclricai Conlraclo� Mail Address ' Cily SlatelZip Phaie <br /> t� . u_- <br /> .� i . � � � �� ( ' .-,;� � � ; � �� <br /> St�to Licensc Numbr.r Contract Prico o(Work <br /> *< ,+ •'l ,J I�r z ,�- /� <br /> Proposi d Usu ul Riuldiny Conlacf Person (Plan Rovir,�v) <br /> I ,� , <br /> Descriplion o�Work to l3e U�,n,�� --- --.._� .------ ' t „`a L.�y � l�c,,f�� `�5;-�� �' <br /> .. '—� -- <br /> {� <br />� <br /> NOTL" WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> B[ IN RACEWAYS, MC OR AC CAEiLE. <br /> t <br /> CITY OF EVERETT LOCAL SALES TAX GODE IS 3105 �' C . <br /> 1 hereby ccrtdy Iluvf 1 fiare rcad and exnntincA fhis applicafion nnd 6now the s�me to bc frue nnd �� �'� L,—�J <br /> ronvcf. All provisiuns o!laws and ordinrinces�ovenung fhis type o!�verk �+�ill he comp/efed <br /> �shafhr.r speci(ieAherein or noL The�ranfrnc�o!a parnd does nof �wsumo to gi�•e au(honty fo <br /> ciolnle o�canc�l Ihe`�rovisions o!nny other sfato or bcal law re�u��fine�consVucfion er fhe <br /> peAonranco o!consln�cfinn That 1 am authorizeA by fhe o�+�na ol fhis property fo pmlorrn fh^ <br /> work lor which opplicnhon is mnd��and 1 comply�vifh the Slafe Confractors Law 18.27 RCW and <br /> 296 200 11'AC. <br /> � _ �� ,, , <br /> ----- - ___ ' __-- -- -- - -- � � j <br /> s�����,�����: u,�o <br /> �_ — <br />