Laserfiche WebLink
ELECTRICAL PE�MIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 -www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 2�az ��y �J �� <br /> PROJECT AUDRESS <br /> Owner Mail Address City State/Zip Phone <br /> ��v�� :�An/� � 7v z �e�Ll�'y �G�� ���2�.r , �1� -��'� .3�a--.���� z� <br /> Tenant Mail Address City State/Zip Phone <br /> !'� �%�C�f� <br /> -����.����'.�,�n�v��c��f•���5 /fY�. f�U f3oX //S'� /vlUf��Ll�v. G✓,�1 � y�7 � o <br /> , <br /> � S�- /zs�3y7- � � <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> ��(Y % /5� �,� �� '� �/3,vc> <br /> State License �lumber Contract Price of Work <br /> ��.-n� r�n � �, � ��t2.�! s' <br /> Proposed Use of Building Contact Person (Plan Review) <br /> -� /�,�vo ,S� � ��' ���)�� `������i <br /> Square Footage (If residential new construction, remodel or addition) - <br /> Description of VVork to Be Done: ��'( 5 /c� L/ ��� �BW ��G�G� D��'/�vvf,Gl7�ia�93 �$L� <br /> ��j Lt,o��'��d iIs <br /> NOTE: WIRI�IG IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE . ,`,� <br /> �C <br /> CITY OF EVERI=TT LOCAL SALES TAX CODE IS 3105 <br /> I hereby certify lhaf 1 have read and examined this application and know tl�e same to be true and i � <br /> correct. AI!provisions of laws and ordinances governmg this type of work will be completed V � �jq���� <br /> whether specified herein or not. The granting of a permit does not presume to give authority to �J �f <br /> violate or cance�the provisions of any other state or local law regulating construction or the <br /> performance of:onstruction. That 1 am authorized by the owner of fh�s property to perfonn the <br /> work for which �pplication is made and 1 comply with the State Contractors Law 18.27 RCW and <br /> 296.200 C. <br /> ,��—� '3 -/ -z o/� <br /> Signature Date <br />