Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3<^00 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everetlwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DE81T & CREDIT CARDS ARE NOT ACCEPTED <br />�s .15 �� ��,� � r�;. �:�( <br />PROJECT AODRESS <br />Tenant <br />Electrical Conlractor <br />(�SJ��Cx.xo�z�.?Z <br />State License Number <br />� /F� 4_ <br />Propased Use of Building <br />s7n� �../ � `�� - J <br />Mail Addreas <br />V Lv �S.a1 �� �i�C'h <br />Mail Address <br />'•/� 7� SrS£ <br />Mail Address <br />Ciry <br />City <br />Ciry <br />Description of Work to Ba Done: /'c p�., � ;�.�.. �L.,� b 4� r1` y <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 />Stalo2ip Phone <br />,p� c.�if- 9Yl�J .�S..l —J�' <br />Sfate2ip Phone <br />�� 9' � 1c�� 3s5 .�i S� i <br />Stale2lN Phone <br />���� <br />ConVact Price of Work <br />Contact Person (Plan Review) <br />1 hereby certily thal I have read und examined Ihis applicafion and know fhe same fo be (rue and <br />correct. All provisions ollaws and ordinances goveming this type o/ work will be completed <br />whefher specified herein or not. The granfing ol a permrt does nof presume fo givo au(honty fo <br />violate or cancel tha provisions ol any ofher sfafe or local law regulating construction or fhe <br />peAomiance ol conslrucfion. That I am authonzed by fhe owner o/this propeny fo perlorm fhe <br />work /or which applicafion is made and 1 comply with the S(afe Confracfors Law 18.27 RCW and <br />296.2�� wA�. <br />F[E <br />; ���'��� <br />�� �� <br />