Laserfiche WebLink
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 />� tv 3 U� � T�2 i>Lr/�-� � ��: c�%% <br />PROJECT ADDRESS � <br />-j �, L> <br />�AN��.�C 5���� -� ��� ,�U����QSi ��r�f��i c�Cti y�.�-� 1���5'7 <br />Owner Mail Address City State/Zip Phone <br />Tenant <br />Electrical Contractor <br />State License Number <br />�z_ S�/'J'�-�f�� �� <br />Proposed Use of Building <br />Description of Work to Be Done: <br />Mail Address <br />Mail Address <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 />City <br />City <br />State/Zip <br />State/Zip <br />Contract Price of Work <br />Contact Person (Plan Review) <br />1 hereby certify that 1 have read and examined this application and know the same to be true and <br />correct. All provisions of laws and ordinances governin� this type of work will be completed <br />whether specified herein or nof. The granting of a perm�f does not presume to give aufhorify to <br />violate or cancel the provisions of any other sfate or local law regulating construction or the <br />pertormance of construction. That ! am authorized by the owner of this properfy to perform the <br />work for which application is made and 1 comply with the State Contractors Law 18.27 RCW and <br />296.200 WAC. <br />. , ,� <br />uate <br />FEE <br />Phone <br />Phone <br />