Laserfiche WebLink
( <br />ELECTRICAL PERiVIIT APPLICATION <br />CITY OF EVERETT PEFtMIT 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 />`! �/� 5 ��F�< f„ �t/ <br />PROJECT ADDRESS <br />Owner <br />Terant <br />' �/�Gc': �< <' S ��� U - �GX l�� ) <br />Mail Address <br />�K�c� �%a ✓� 5 1 � <br />Mail Addmss <br />:�Pr,Tr.i. � ��'J �i SIY,'r.'f U <br />Electrical Contraclor ldail Address <br />�/r"1C �`-� � G Z Z ) � _ <br />Stale License Number <br />��� � � <br />Proposed Use of Building <br />�escriplion o( Work lo Be Done: <br />�1:,.� %G�S . �V <br />,: <br />Ciry <br />City <br />City <br />9-��O�i �j <br />C:�O iDq—�O / <br />�l� ��23� <br />State2ip <br />// <br />Stale/Zip <br />�ii%r �d13_ <br />State/Zip <br />���(/�65 <br />Contr„ct Price of Work <br />/ ^ <br />5��;,,,,,,� �:�<<-�� <br />Conl� cl Person (Plan Review) <br />Phone <br />Phone <br />jroG' <br />Phone <br />i�/� <br />j i rj, <br />� l .. OUf�/S� lC-�✓ 'E`1G1�/)/.'lr'��v� Y�1 ' ' �CPSi <br />/1(� i.. /cl�l/ „a� ('� I�'i G.�>.� �1E�._ <br />NOTF: 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 />1 hereby certily that 1 have read and examined this applicafion and kno�v (he same fo be frue and <br />correcL All pro!�isions ol laws and ordinances c�ovemir;g this type of �rork will be completed <br />�vhefher specified herein or noL The granting o( a perrmt does nofl�resume to giee authonty to <br />viofafe or cance/ the provisions oI any ofher state or focal la�v rer�u ating construcf�on or the <br />performance of construchon. That 1 am authorizad by fhe owner o/ this properly to perfomi Ihe <br />work (or which app/ication is made and 1 comply with the Stafe Contracfors Law 18.27 RCW and <br />296.200WAC.�� , <br />��1 . i <br />_/ O <br />F <br />