Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREE', EVERETT, WA 98:.U1 <br />425-257-8810 - FAX 425-257-8857 - www.everattwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />17 '3r/ <br />SI( Sl,J. 'eve re - <br />PROJECT ADDRESS <br />r <br />-co7rL S9" Aee <br />44, %034' <br />Owner <br />Mall Address <br />City <br />State/7Jp <br />Phone <br />. ( <br />(,/` 7314 �i 5't✓ <br />x" rrer/ <br />Iv- #z0750ITS <br />Tenant <br />Mail Address <br />City <br />State2ip <br />Phone <br />/2770 <br />If,, Ape I,/sm r9o, <br />�rrrl <br />/ <br />t4l. 0320t! r42S)SS5-ft$'3 <br />Electrical Contractor <br />Mall Address <br />City <br />Slate/Zip <br />Phone <br />&ZcoFFi 96714 <br />-t11A <br />Stale License Number <br />Contract Price of Work <br />Proposed Use of Building <br />Contact Person (Plan Review) <br />Description of Work to Be Done: _A el rr r'n y / �o ��r r /�r s c� m ^Owe r <br />re r, res in ('.sere /`�fe� 6�se <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certify that I have rend and examined this application and know file some to be hue and <br />correct. All provisions of laws and ordinances governing this type of work will be completed <br />whether specified herein or not. The granting of a partly does riot resume to give authority to <br />violate or cancel the provisions of any other state or local law regulating construction or the <br />performance of construction That 1 am authorized by the owner of this property to perfomr the <br />work for which application is made and 1 comply with the State Contrarlors Law 18, 27 RCW and <br />296.200 WAC. <br />S-/Z.- 06 <br />FEE <br />Eoxpch -09 3 <br />