Laserfiche WebLink
ELECTRICAL PERMIT APPLI�ATION <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 /> .�00�7� TJ�c I..1- <br /> F ROJECT ADDRESS <br /> ITbC l�r�A/Af�FwiFNr SE�uALEs 6Yz.S StJ S4ua�ac, sr l�b�, Ot 9�zz3 <br /> Uwner Mail Address City State/Zip Phone <br /> ��lAorc�' MEa �i�c Ev�ir <br /> Tenanl Mail Address Cily State/Zip Phone <br /> �IERIT IrI£CNANIC�FL I1JC• �I�i30 �S3'� AvE ll�� QEawto�vD W►� 9K�1"Y /ysT�ffi3- 1rz4 <br /> Electrical CoNraclor Mail Address Ciry S�atelZip Phone <br /> ��E�.IT1Mi qs� NJ ���7" <br /> State License Number �ntract Price of Work <br /> C:O�►1MIfi.LG4L �ICM�IEL �F71)�a• <br /> Proposed Use of Building Contar,t Person (Plan Review) <br /> Description of Work lo Be Dane: INSll�LL T �=��{TT. <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 r.ertify(hat I have read and examined this applica(ion and know the same to be true and <br /> correcf. All provisions ollaws and ardinances governing(lus type o/work will be, completed <br /> whelher'speci6ed Derein or noL The granfing ola pernut does nof presume to give author'ity to <br /> violate or r,ancel the provisions ol any other sfate orlocal law regulating construchon or(he D <br /> per(orma���a o/const�ur.tion. That(am authonzed by;;�a owner of th�s properly to per(orrn the <br /> woik lor which applicalion is made and I comp/y wifh the Sfale Con(ractors L<�w 18.27 RCW and /7 <br /> 296.200 WAC. � / <br /> ��09 � �� � „ <br /> �Signatu � Date � � <br />