Laserfiche WebLink
ELECTRICAL PERMIT APPLICATIO�V <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 58201 <br /> 425-257-8810 - FAX 425-257-8857—w+�vw.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DE[31T& CREDIT CARDS ARE NOT ACCEPTED <br /> �-. <br /> i <br /> �.�-/ ) � .-. �i� i � .i �� ..�_ <br /> PROJECTADDRESS � <br /> .� <br /> � ' '�-- <br /> Owner Mail Address City Slate�Zip Phone <br /> n C� <br /> ��G�l:��U aaJ /��G2�� '� ��r�.L.C/'L._ <br /> Tenant Mail Address City State/Zip Phone <br /> �C� 1.�J U- l�/�t Iti� ����� �' OLI./ .��-1/L/ <br /> Electrical Conlractor Mail Address City State2ip Phone <br /> State License Number Contract Pnce of Work <br /> �� . <br /> ✓l�'' "C`�� <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description af Work to Be Done: � -�— �'--'���� �L� • �—"'•''�'� `�- •�� O7/"'�;) <br /> � v <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> i <br /> C�TY OF EVERETT LOCAL SALES TAX CODE IS 3�05 <br /> 1 hereby certify that I have read and ezamined this application and know fhe same to 6e true and <br /> correct. All provisions o7laws and ordinances governing this type of work will 6e comp/eted <br /> whether specified herein or noL The yranting ol a permit does notp resume to give authonty to <br /> violate or cancel the provisions of any other state or local law regu/ating construction or fhe <br /> peAormance of censtruchon. That/am authorized by the owner of this property to pedorm the <br /> work io��vhich application is made and I comply with fhe Sfate Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> i <br /> L G �. <br /> � �-- ��/�' C� -_ .. - i i ' � G' — J <br /> Si9nawrA !� Dare � <br /> �oy il- i ss <br />