Laserfiche WebLink
� <br />� <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 />, �i ,� � � �. � �- �i l'�'l � � �- . <br />PROJECT ADDRESS <br />Owner <br />Tenant <br />Electrical Contractor <br />Mail Address <br />Mail Address <br />J ) �- <br />Mail Address <br />C� <br />(' c � 1( � � � �- r� `-7 . 1 L-- <br />State License Number <br />� L� � <br />Proposed Use of Building <br />C ity <br />C ity <br />�35(. - � <br />1 �. <br />City <br />Square Footage (If residential new construction, remodel or addition) <br />State/Zip <br />State/Zip <br />C_ <br />-� L_� 1�;7 `� <br />State/Zip <br />J `__� U C1 �' �-' <br />Contract Price of Work <br />Phone <br />Phone <br />L(��� _ <br />Contact Person (Plan Review) <br />Description of Work to Be Done: �� c� t< �(' �� �' �1 �.,� �, r L'� �;� � r� <br />1,��'L..�''' �- K'��.�..i�'�.�� <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 hereby certify that l have read and examined this application and know the same to be true and <br />correct. All provisions of laws and ordinances governrn� this type of work will be completed <br />whether specified herein or not. The granting of a perm�t does not presume to give authority to <br />violate or cancel the provisions of any other state or local law regulating construction or the <br />pertormance of construction. That 1 am authorized by the owner of this property to perform fhe <br />work for which application is made and I comply with the State Contracfors Law 18.27 RCW and <br />296.200 WAC. <br />�_ <br />� <br />�' � <br />i �` , �` � - _ <br />� � ' \ �, / �-%- :— � � �� <br />Sianature <br />Da <br />FEE <br />��"�l�' <br />� <br />Phone <br />� � �� -- lS �� <br />