Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — wotw everettwa org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />g 3 Y ga S <br />PROJECT ADDRESS <br />q, c.1,lf,.J SAY. •� �! ✓2�,I"'y-ha'44C <br />Owner <br />Mal Address <br />2310 136A�.✓r-'43✓03 i/1a.�ke,WAis, bcV, <br />City sbbft Phone <br />207 <br />Tenant Mal Addma city Statelzip Phone <br />Electrical <br />E/e j/, L QI ,JV r4--C J9 <br />Mal Address <br />I/(/iGb Fs l/z /- 3 <br />State License Number <br />0)1 bi e <br />Proposed Use of Building <br />-'�Cv ), <br />94 G! �� L j�sL✓a.ii�l�j 9�0.?�i <br />City State2lp Phone <br />Contract Price of Work <br />Contact Person (Plan Review) <br />Description of Work to Be Done. Z-PAA1/ t/yi we ante%? l4-4r++ (WlnC '-/' j <br />� (2,� /it17 't >i,.4-1, <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certify that 1 have reed End examined this application and know the same to be true and Ei /o y.13 y <br />correct. All provisions of laws and ordinances governing this type of work writ be completed <br />whether specified harem or not. The granting of a permit does not presume to give authority to <br />violate or cancel the provisions of any other state or local law regulating construction or the <br />parlormence of construcfion That 1 am authonred by the owner of this property to perform the <br />wo/k for which application is made and I comply with the State Contractors Law 18 [ r RCWand <br />296.200 WAC. <br />Signature Doe <br />