Laserfiche WebLink
� 1 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT 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 /> �� ��� C \ i�' 4� I 1��. ��l L ; 1 � i� jlr i ��. �� <br /> PROJECT ADDR�SS <br /> c <br /> x> >« ;,c� U'�1C;�k,' i -7�� � � �� "lc, ..� i �' c��.:� (���'' .���k- .-� � �,�-�-'�l� ����15� �, � <br /> Owner Mail Address Cily Stale/Zip �hone <br /> `������� �'l� c�l_�o�;� <br /> Tenanl Mail Address Cily Slale/Zip Phone <br /> �"' /� n �I �/ � <br /> �CL'•i��'�Ct�( L �rJc� I ��C�l I14v(n��l `�l �C(l�e/��T' l� ic�3 �l�c�:'` � <br /> Eleclrical Conlraclor Mail Address City State2ip Phone <br /> �� '�'� 1��tS1� 7 I, U`7� <br /> Slale Liconse Num�er Contracl Price of Work <br /> Proposed Use of Duildinc� Conlacl Person (Plan Review) <br /> r ! <br /> Description o(Work to Do Dona: _�� �', � i!� � Q�j��L L U� �� �,�,�ji(,/')7 <br />� <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CI7Y OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby certi/y fhaf 1 have read and examined fhis applicafion ond know the sarne to be truo and r�"`' �� �h y <br /> conLCL All provisions ollaws and orciinances governing tlus type ol�rork ivilf be cornplefed <br /> u�hefher specificd herein or noL Tho granfing o/a permd does nof presume to gi��e aufhonry fo <br /> violate o�cancel fhe Provisions of any other stafe orlocallaw regulafinc�conslruction or th� <br /> peifonnance oI constniction. That 1 am aufhonzed by Ihe owner o(this properiy to perfomi fhe <br /> �vork lor ivhich applicafion is rnado and I comply with the Sft+te Confracfors Law 78.27 RCW and <br /> 29G.200 Ih�AC. <br /> � ���� �c_. <br /> �/�';� � i �l 'ti ���� (i<<< j �� r������; <br /> ignalure Date <br />