Laserfiche WebLink
A <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES �_� _a� <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX425-257-8857-www.everettwa.org L �� s�� <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 pM <br />yj ( L 7 /�/J.y �f c-,/9� <br />PROJECT ADDRESS <br />Owner <br />Tenanl <br />Electncal Contraclor <br />Stale License Number <br />���� �,� C � �-r.A �C <br />Proposed Use of Building <br />Mail Address <br />A4ail Address <br />Mail Address <br />Gty <br />Cily <br />City <br />�crc-.� �v'� /G 1J6' <br />State/Zip <br />staie2�n <br />State/Zip <br />Contract Price of Work <br />Contacl Person (Plan Review) <br />Description of Work to De Done: lC w�� �- �,• ��� ��;, �.�y,� �,,�, � r✓F_�-� i <br />� <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRCD TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceriily that I have rnr 9 and examined fhis applic <br />correct. All provisions ollaws and o�dinances goveming <br />whether speci6ed herein or noL The g�anfing o/ a �ermd <br />violate or cance/ (he nrovisions olanv nrn�r ��a�� .,, r,.�.,i <br />made <br />and knav the <br />Ype oI �rork w <br />same fo be true and <br />71 Ue completed <br />to gi��e authonty fo <br />sfruction or the <br />a�ti 18.27�RCW and <br />FEE <br />�0905 -�� <br />Phone <br />Phone <br />Phone <br />