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.e�erettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />, , � �__ -� � �. <br />(-� � �= ` � � C'� � ,r� ' �� ��� �� � �__ � �- � � � <br />PROJECT!�DDRESS <br />_ � ���- _ �_�r.,�,_ <br />nn_r At,�tl Addiess <br />� <br />ti�ale2ip <br />Phune <br />` �. <br />_ i !C Rl [ _— __— ___ — ___ —_— <br />Tenan� ���� ��ta��l Addwss Cily ti�ale'Zip Phone <br />�_ �r� � � .S � ��l`, l�� �� J �s 1 N�� 5�.�..-ar��C�i%��f�1%� <br />Eleclrical Conlractor Mail Address City State2io Phona <br />r/ �/c� >�G � 3.��_G�3� =n1s l� `-`' <br />�_ G-���- �' � �. Li _� 1l / " J <br />Slate Liconse Nu �er <br />���`�, <br />ProposcA Use al Buildin� <br />Descriplion of Work lo [3c Donu�. ___-� ��) <br />NOl"[: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEW AYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />! hereby ceriilp (hql I have iead <br />canecf. All prov�sions o( laws � <br />whefher specffied herein oi not. <br />wol•u(c o� ca3r�cc1 fhe `novisions <br />pe['onnnnr.e pI consfruttion. T <br />wo: k loi �tihiclr �pplicnfion is � <br />29 , 200 WAC. � � <br />`�� , �, r � ,L <br />— siAnaw�e <br />Contracl Prico�f Work <br />Contact Person (Plan Rcvicw� <br />�,� l'GG � / / ��"'� �_ . <br />nined fhis applir,ntion and W�o�+� Ihe san!e fo be frue e�nd <br />inces gu��oming fhis type o! work wdl be cornplefed <br />nfin� o/ n peirnd does nofInesame to give aufhority to <br />hyr sfafo or local Iniv regulntinp construcfion or tte <br />r0lhoiized by fhi� owner o! Ihis property fo perfu�m fhe <br />cornply u�ith fhe St�fe Conhacfors Law 78.27 RCW and <br />i � �� � �� <br />FEE <br />