Laserfiche WebLink
--� — <br /> — � <br /> ELECTRICAL P'ERMIT ���PLICATION <br /> CITY OF EVERETT PERMIT :iERVICES <br /> 3200 CEDAR STREET, EVERETT, VJA 98201 � – ��V � z <br /> 425-257-8810 - FAX 425-257-8857 –wwa�.everettwa.org G� �g�O 83 <br /> APPLICATIONS ARE ACCEPTED FROM 6 AM TO 4 PM <br /> �C� %2 / <br /> �f17—' � ��-�, i��h /u,, <br /> PROJECT ADDRESS /—�ZC!— �JG —C�c't'(, <br /> � <br /> 1�a c;��� �s�,f ����so�s r�cr� ���;,���� ti�, ��,���� �s�� �ll�, �,� , i�-�I ���c Y <br /> wner Mai�.4ddress City StatefLp Phone <br /> Tenant Mail Address City StatefZip Phoi.e <br /> / 7a I � � ? <br /> , �.'�l ��< �! '� �nf �/ lG� O S�l?(.�f L,�/,t' '.�y J �1';� � �t �'�/f �Ir'� Sl ���, -_ -..i,-`�' <br /> EledricalContractor MailAddress City Sta�elZip Phone <br /> c.�. I�?� � L.�- �,= c� Z ) �– �z`'"'`' — <br /> State License Number Contract Price oF Work <br /> � � ' ��Y,•,�...� �;"Lcr'��i <br /> Prcposed Use of Building Conlact Person (Plan Review) <br /> Square Footage(If residential new construction, remodel or addition) <br /> (/� ! / <br /> Description of Wark to Be Done: A e / C��( l'i q{lf i �� �'r � / f ��� •, `/ 1�� `'/<' // <br /> � 1 , 1 � <br /> /% C P, l� 'r/��'� if<�C:if� l�� /rl � e /( 1' <br />_ , <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby certily fhat 1 have read and examined fhis application and know the same to 6e true and � �ap�- ��3 <br /> conecL All provisions o/laws and ordinances govemmg this type oI work will be.complefed �i <br /> whether specilied herein or noL The granting o(a permit doas not resume fo grve aufhonty to <br /> violate or cancel the Qrovisions of any other state or local law reguPting construchon or the <br /> perlormance of cons,ruction. That 1 am authonzed.by the owner o!this property to peAoan the <br /> �vork!or which application is made and I comply wdh the State Contrac(ors Law 1827 RCW and <br /> i 296.200 WAC.f� . � <br /> ' f / / <br /> ...�j.� �v�_ (- ✓ i^�����", -�� Z-- <br /> Signalure Oate <br />