Laserfiche WebLink
ELECTRICAL. PERMIT APPLICATION <br />CITY OF EVER :TT PERMIT SERVICES <br />3200 CEDAR : T;REET, EV =RETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www everettvia org <br />APPLICATIONS APE ACCUPTED FROM 8 AM TO 4 PM <br />1S ,Yry .Sr.Ycer Sri _ <br />PROJECT ADDRESS <br />r <br />Owner <br />- <br />_ _ 7—SlatelZip <br />Mail Address C�IY <br />Phone <br />�fCT/7c vPOS/° 9Lt <br />C <br />�a /D %Srn Ureter S W /Lv-C& rr &M <br />l-70.3 <br />Tenant <br />Mad Address City <br />SlatelZip <br />Phone <br />�o« �� /n/c <br />f00 ireomr/7.�rir .Srra% a yr<rro <br />Electrical Contractor <br />Mad Address city <br />SlatelZip <br />Phone <br />« )r o//// O <br />Slate License Number <br />Proposed Use of Building <br />Description of Work to Be Done <br />i` <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />_ '//ev co <br />Contract Price of Work <br />nt� <br />Contact Person (Plan Review) <br />J <br />V LAI/!'/N r✓ C/r LGtr lr" <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby cartiry that 1 have read and examined this application and know the same to be true and <br />correct All provisions of laws and ordinances governing this type of work will be completed <br />violateeor cancel the provision of any other sfato or local law reges ulatnsume g construction ive or the <br />to <br />performance of construction. That I am ouBlonzed by the owner of this pproperty to perform the <br />work for which application is made and I comply with the State Contractors Law 18 27 RCW and <br />296.200 WAC. <br />J-9-// <br />FEE <br />tI o` -05S <br />