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 />,�J r� .f. ':�." d¢ "�-�' �s ,�� ! � �rC. ,�3 �� �(6' C:� <br />PROJECT ADDRESS <br />J�_I tvr!"Ce� <br />G� <br />�� � �a �1�� tf,� .?.� ,� � ,�'��?vl�i6��c� ��vr./ <br />Owner Mail Address City State2ip Phone <br />Tenant Mapil Addregs,�s C�it} <br />��1 �� fp , � J � 7 � �� k." G, �1:? mQ /� � <br />�.m.Y, f i J :7� + F' ��p.,r6.' �Y` f ,W,. �� !,c �. <br />v` �. y�(d� <br />Electrical Contractor Mail Address City <br />��`v i � 'T' �, ,� o'� "7 �� �/ r�� <br />Stata I_ir_.enca N��mber <br />1'��f �,'' .� /' e;1�� .��;J �; � �': ,/ <br />Proposed Use of Building <br />Description of Work to Be Done: �� "�o- ''� �'x j";:✓ � r�'' � <br />NOTE: WIRING IN NON-DWEL�INGS IS REQUIRED TO <br />BE IN RAC'EWAYS, MC OR AC CABLE. <br />State2ip Phone <br />��, /`�''�'� � �� �� <br />State2ip Phone <br />�'� -a� a ., L+' +,. <br />_ . s_ ,.� x� a„�.....� <br />Contract Price of Work <br />Contact Person (Plan Review) <br />*r" �. �, +� �� �: �� %' <br />CITY OF EVERETT L.00AL SALES TAX CODE IS 3105 <br />1 hereby certify that 1 have read and examrned this application and know the same to be true and <br />correct. All provisions of /aws and ordinances govemin� this type of work will be completed <br />whether specifred herein or not. The granfing of a permif does not presume to give authority to <br />violate or cancel fhe provisions of any other state or loca! law regulating consfruction or the <br />performance of construction. That I am authorized by the owner of this property fo perform the <br />work for which application is made and 1 compiy with the State Contracfors Law 18.27 RCW and <br />296.200 l�A C. <br />r �� � / <br />�.:-��` =�-._ -_ � � � /� <br />FEE <br />��� �� <br />r"! l /��j__ VU�� <br />� ✓ <br />4` `�' <br />