Laserfiche WebLink
ELECTRICAL PERMIT APPLlCATION <br />CITY OF EVERETT P'ERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8,957 - www.everettwa.org <br />APPLICAIIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />Z �lp o�-�I M,�iL �i-�Il7, <br />PROJECT ADDRESS <br />Owner <br />Maii Address <br />CIty <br />SGte/Zip <br />?hone <br />Yi� a I)�CMLT O� SNe.�D LO <br />Tenant Mail Address City Stale/Zlp Phone <br />i��AIN �ZTL4t� �IJ,L. �A ��Sb EnMor.�DS Nµ1 / 9$OZO 4[S 'l1$'l0� <br />ElectriCal ContraClor Mail Address City StatelZip Phone <br />N� n=n, s�s oz, o� `O� <br />Stale License Number n 1 <br />Proposed Use of Building ;'✓ � N <br />'�3� SOo ' e <br />ConVact Price of Work <br />�11.J�.. * \il�t-\` <br />Contact Person (Plan Review) <br />Description of Wort, to Be Done: Tni S 7:4 L( i� l � i� ae'i1 "' c"� G r"' � �o'Z <br />i�4� �;�—r4� �qu.r��v<v� <br />NOTE: 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 />I hereby certify that 1 have read and examined fhis application and know the <br />conecL Al/ provisions ol laws and ordinances goveming th�s type ol work wi <br />whether speci�ed herein or not The granting o/ a pe�md does not presume <br />violate or cancel the provisi�ns o( any other state or local law regulating con <br />peAormance o/ construchon. That I am authonzed by fhe owner of this prop <br />work !or which application is made and I comply wifh the State Contractors L <br />296.200 WAC. , /- <br />Z <br />� �5D7�(7�(7 <br />US <br />3 to be true end <br />completed <br />�e authonty to <br />tion orthe <br />o peAorm the <br />8.27 RC W and <br />FEE <br />