Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 g� J—D 6 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org � 06 D g—�� <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />�7 72,� C-u��V �� - <br />PROJECT ADDRESS <br />� f! -` ;,� �� �� S� +� '-i314 CrRR.+� A.. <br />Owner Mail Address <br />Tenant Mail Addresa <br />EleGncalContraclor MailAddress <br />Slate Licenso Number <br />Proposed Use of Building <br />bescription of Work to Bo Done: <br />c� <br />City <br />City <br />Clty <br />�{2S �252-ow�l <br />�i�Zv3 <br />Stale/Zip <br />State/Zip <br />State/Zip <br />Contract Price ot Work <br />Contact Person (Plan Review) <br />�� P�..,.� ' <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 />! hereby certily lhaf 1 have read and exemined this epplicafien and know the sarna fo be frue anA <br />corTecL A/l provisions o//a�vs and o�dinances govemmg ihis type oI work will be completed <br />�rhe0ier specilied hwein or not The granfinP o/ a penrut does nof presume fo give authont}� (o <br />violale or cance! Oie provisions o(any other state or local !aw regulating consfruction or the <br />pedonnance o/ consfrucfion. That 1 am aufhonzed 6y the owner otlhis property to perform thc <br />work Ior which applicalion is m;�do and ! compfy �rith the Stato Con(ractors La�r 78.27 RCl1� and <br />296.200 WAC. <br />r. <br />�EE <br />C' i,"l: C.�, - C� � � <br />Phone <br />Phono <br />Phone <br />