Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 /0 ` <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org 05 /0 _ 03'7 <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />31/L� HILL A1lF_ <br />PROJECT ADDRESS <br />Owner Mail Address City State/Zip Phone <br />OPI VKIIAAc'Al.� s //� W1I �t/� /�c'h r (�J� � y�c- r -z <br />Tenant Mail Address City State/Zip Phone <br />6-5E1Q—tjeW9L 03V <br />!�°YL Kit 50Vicrj. LL C og ft7e iy)i j/l/9 <br />Electrical Contractor Mail Address City Sla e/Zip Phone <br />LS�Il�S� izJ� -'41' Ste. eA.�) <br />Stale License Number Contract Price of Work <br />CN�I� tQI?P�L�I.J <br />Proposed Use of Building Contact Person (Plan ReOew) <br />Description of Work to Be Done: r!IC%/T//✓G eC21, Qf% e— /%.2 <br />Fld✓��SC/r L& 05 d' IM�Cy✓ TiC_ '/JL�iIS% 5 `U�L eu,�2�SCCj✓/� <br />� LI%35 d W-/IL*,ur'7G <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 �c^ I <br />I hereby certify that I have read and examined this application and know file same to be true and `JI <br />correct. All provisions of laws and ordinances governing this type of work will be completed <br />ehether specified herein or not. The granting of a pemut does not pn sume to give authority to <br />vlolato or cancel the provisions of any other state or local law regulating construction or the <br />Performance of consln/cfion. That I a Who ed by the ownor of iris property to pedorin the <br />work for which application is made d I om y witli the State Contractors Law 18.27 RCW and <br />296.200 <br />Signature Dale <br />