Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 3 .- a0 —1 Z <br /> 425-257-8810 - FAX 425-257-8857 -www.everettwa.org ���3 `r�p� <br /> / <br /> APPLICATIONS ARE ACCEPTED FROM S AM TO 4 PM <br /> �od �a 23hcQ- �r \��s7- EJLr�f/� 9 �Z0 � <br /> PROJECT ADDRESS <br /> �0.0��F� �-Oai� �-ar i vi C SvW�Y� � S o..J�d� G <br /> Owner Mail Address Gly State2lp Phone <br /> sC�.v+,.-�4 <br /> Tenanl Mail Address City Stale/Zip Phone <br /> �fLS-337- <br /> f ..J_. 31s�-AveSe ��e,�-�" !.;ii� 98zog ��0�6 <br /> , l�lc� �t.��r. ' r� .,�.�. � ��?U Je�� <br /> Electrical Conlraclor� hlail Address City Slate2ip Phone <br /> �I `1 I D <br /> Slale License Number Conlract Price of Work <br /> I�TO.�'�aM `� �r n Er <br /> Proposed Use of Building Conlact Person (Plan Review) <br /> Descriplion of Work to De Done: �(� � �-u�t `�'- ��R'�'� — <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> i <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> �- �2i�S - � <br /> 1 here6y ce�1ily Uiaf 1 have read and examined this application and know(he same to 6e frue and � <br /> correct. All prowsrons of laws and ordinances goveminy this type o/work will 6e completed <br /> whether speafied herein or nof. The�ranting of a permn does not presume fo give authonty to <br /> violafe or cancel the provisions o(any olher stafe or local law regulating construction or the <br /> perlormance of construction. Tha(1 am aufhonzed by the owner u(fhis�roperty to peAorm}he <br /> work lor which application is made and 1 comply wi�h the State Contracfors La�v 18.27 RC W and <br /> 296.200 WAC. <br /> �(�h�li.en� -l ��v <br /> SiynaW : Dale <br />