Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERFTT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everetlwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />��''/� //J .f G. <br />PROJECT ADDRESS <br />�,; ,�,_,� . S'�i+�� a., 1�/ G/l,� S. G�vcr �� f �.P�.a- <br />Owner Mall Address Ciry State2lp Phone <br />Tenant <br />Electrical Contrector <br />hlall Addrass <br />Mall Address <br />e r� ��: 9��� S <br />State License Numher <br />Praposed Use of Building <br />Ciry <br />Description of Work to Ba Done: �Ci,��,n�f��' '' �'� �� � <br />NGTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX COOE IS 3105 <br />State/Lp <br />Slale/Lp <br />Contract Price o( Work <br />Contact Person (Plan Review) <br />I hereby ceRdy thet I have read and examined this application and know the same to be true end <br />conect. All prowsions ol laws and ortlmances governrng fhis type ol worh wdl be comG�eted <br />whefher specdied herein or noL The gran6ng ol a permd does not presume to give aufhonty fo <br />wo�ate or cancel fhe provisions ol any other state or local law regidating construction �r the <br />peAormance o! consVuction. That I am authonzed by the owner ol th�s property to peAorm fhe <br />work lor which app6cafion is mede and I comply wdh fhe Sfale Centrecfors Law 7H.27 RCW and <br />296.200 l�'AC. <br />FEE <br />� oy�-oirJ <br />Phone <br />Phone <br />