Laserfiche WebLink
• <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 /> 300 k,,/. GRsi,io Ko., CVERFrr, i%4 graa3 4o-y31 <br /> PROJECT ADDRESS <br /> ZogiA/4 ?cos t./. G,4siNo fio. EvERGfT W14/95105 <br /> Owner Mail Address City State/Zip Phone <br /> Ear ii1/4 -?003 W. C45 ►►No Ri,. vERETr" In/4/9gg3 <br /> Tenant Mail Address City State/Zip Phone <br /> §. ()>ZL 1 N4ToA/ <br /> BAr U► H/ LEG t�tG IIc t `I t!, . Jl '}o tA/�f y�33 £ 3yY-aaq/ <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> -134 j /iEL 9"f.4//KI v14-1, 6)96"- a613 <br /> State License Number Contract Price of Work <br /> STEAM LIAJE 0104440 .s- �TcCif Nlory6S <br /> Proposed Use of Building Contact Person (Plan Review) <br /> 1 <br /> Square Footage(If residential new construction, remodel or addition) <br /> Description of Work to Be Done. • - r- •••:••---- - _ <br /> Recoolnif6 A_ 194ARrvt S C .- S <br /> V (A/ r,v4L�E. Vias IA2 <br /> rz /Lo <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. s -a <br /> i/ ��/-1/ <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby certify that/have read and examined this application and know the same to be true and <br /> correct. All provisions of laws and ordinances governing this type of work will be completed J 7 (() �� <br /> whether specified herein or not. The granting of a permit does notresume to give authority to <br /> violate or cancel the provisions of any other state or local law regulating construction or the <br /> performance of construction. That 1 am authorized by the owner of thisroperty to perform the <br /> work for which application is made and/comply with the State Contractors Law 18.27 RCW and 1296.200 AC. <br /> /0 //X <br /> Signature Date , <br />