Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br />CITY nF 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 - DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />�� �,SO �k'�^�I,� '„��,/�' <br />PROJECT ADDRESS <br />��r��,�<< cyn7���ur <br />Owner Mail Address City State/Zip Phone <br />/�l C/" �T G1 k�f c7J CJ s <br />Tenant Mai� Address Clry State/Zip Phone <br />%%n <br />'/�,tf �U�' l'�L�E'TC�a: <br />Electrical ConVactor <br />/�9/�,.�/ 1 � � �� Z �'L <br />State License Number <br />f/�7�c�,(�. <br />Propos�ec Use f ding <br />Mail Address <br />ciry <br />Stale2lp <br />�j�d o 0 <br />ConVact Price of Work <br />lrl,��. /�%'e��:,,, � <br />ContactPerson (Plan Review) <br />/ i. <br />Description of Work to Be Dane: �Pm���/eL u�� ce.� ,L LT ,�� <br />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 here6y certity Niat I have �ead and examined this application and know the same to be true and <br />cor2ct All provisions o( laws and ordinances goveming this rype of work will be completed <br />whether specified herein or not The granting ol a permd does not presume to give authonty to <br />violate or cancel the provisions of any other state or local law regulating construction or the <br />peAermance o/ conslruchon. That 1 am authorized 6y the owner of lhis property to peAorm the <br />work Jor which application is made and 1 comply with the Sfate Contractors Law 18.27 RCW and <br />296.200 WAC. <br />EdScl-o38' <br />FEE <br />'J,�- 9d <br />Phone <br />