Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br />ClTY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 /Z _/3_D C� <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />C 0612-0�0 <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />�� ��la:�� �������rz<<,� %�°�'� <br />PROJECT ADDRESS <br />Owner <br />Tenant <br />Mail Address <br />Mail Address <br />� �_? T�i'� 1 c.�s / <br />CoMraclor Mail Address <br />� <br />��/r�'�/:��,i�i�f <br />State Licenso Number <br />, <br />.�l:r���»,�� _ <br />Proposed Use o1 Buildin9 <br />Descriplion ol Work �o De Done: <br />C✓�fL� <br />Ciry <br />City <br />i', ��i /�l�s <br />Cily <br />S�ale2ip <br />Stale/Zip <br />StatelZip <br />Phone <br />Phone <br />� �1J` <br />� i�z <br />Phone <br />�r�� <br />Conlracl Price ( Work <br />�����/�� <br />Contact Person (Plan Roview) <br />NOl E: WIRING IN NON-DWELLINGS IS RE�UIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 he�eby certily flmf 1 have �ead and exarnined fhis application and know fhe spmo fo be frue and <br />correcL All provisions allaws and orainnnces govemmg this type ol work will bo complefed <br />whe;her speci6ed heiein or noL The �ranting o/ a peand does not presumo to give aufhonty to <br />vio/ate or cancel the provisions ol nny oflwr stafe or /ocal lew re�uleting consWction or fhe <br />pe�fom�nnce o/ consfrucfwn. P-,at 1 am authorized by the o�ener ol fhrs property to perfonn the <br />wo�k lo� �vhiCl� applicafion �� ,nade and 1 comply with fhe Stnte Confracfors La�v 18.27 ftCW and <br />zss.2oo w,ac. , , <br />� �' �� �'`��' ;��. , �� ".3 7 <br />,�%., <br />FEE <br />� � 7� <br />1���' <br />