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 />�1��1 � � � ( �' ����� � - �t- <br />PROJECT ADDRESS <br />r � <br />' _ _ � � _ �i_ - <br />Owner <br />Tenant <br />Mail Address <br />Mail Address <br />"�';r�a t- 1 �� <br />1 �� <br />Electrical Contractor Mail Address <br />; C � � = �L � _� �' .'� �._� 1 Z - _ <br />State License Number <br />- , <br />� _ � �. <br />�__ � )� � .� l "��� �- <br />Proposed Use of uilding <br />City <br />City <br />� ��1 _� l �<=�7, �- <br />City � <br />Square Footage (If residential new construction, remodel or addition) <br />State/Zip <br />State/Zip <br />� 1� <br />State/Zip <br />Phone <br />Phone <br />�1� � j � , <br />Phone <br />� � � ��'�`,--k � - � � <br />Contract Price of Work <br />Contact Person (Plan Review) <br />Description of Work to Be Done: I ,r �^ �,r�, ,�-�i �� �, � �.-��! �� <br />—r. T� � <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 1 have read and examined this application and know the same to be true and <br />correct. All provisions of laws and ordinances govern�ng this type of work will be completed <br />whether specified herein or not. The granting of a perm�t does not presume fo give authority to <br />violate or cancel the provisions of any other state or local law regulating construction or the <br />performance of construct�on. That I am authorized by the owner of this property ta perform the <br />work for which application is made and I comply with the State Contractors Law 18.27 RCW and <br />296.200 WAC. <br />`, � � <br />-� , �� <br />u re <br />, <br />-� � /�- ��- � �, <br />FEE <br />�c �J�� <br />� ( <br />� � ��� -- O( �� <br />