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 />L.,!�r .5���, ��iY <br />��GG'L% S �'d''�a�ctcX � i <br />PROJECT ADDf2ESS <br />O�tincr <br />Tenant <br />Eleclrical Conlractor <br />State licenso Number <br />Proposed Use of Building <br />L %'' i a TT <br />t.1all l�ddress <br />L1ail��ddres5 <br />Mail Address <br />Description of Wo�k lo Be Done: <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETi LOCAL SALES TAX CODE IS 3105 <br />1 hereby cerlily fHaf 1 have read and exarnined fhis applic <br />conect All provisions of laws and ordinances govenwig <br />�rhefher specfied herein or noL The gran(ing o/ a pemuf <br />violale or cancel the provisions ol any olher sfafe or loca� <br />pertormance o/ construcfion. 7hat 1 arn aufhonzed by Ih< <br />work lor �rhich application is made and I comply with the <br />z4s.2oo wAc. <br />City <br />City <br />Stal� Z�p <br />State2ip <br />Phene <br />Phone <br />City Slale2ip Phr�e <br />� <br />.��on. � <br />Contraci Price of Work <br />r <br />and knmv the <br />��pe o! work w <br />La <br />Contacl Person (Plan Review) <br />fo 6e frue and <br />ornpleted <br />r aufhontp to <br />and <br />FEE <br />