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 — v,nvw.everettwa.org <br />APPLICATIQNS ARE ACCEPTED FROM 8 AM TO 4 PM - DE81T & CREDIT CARDS ARE NOT ACCEPTED <br />r .. :. c'�' L ,i; i� �- ( /� . <br />PROJECT ADDRESS <br />J�;C L-;ll� /yl � k'l`l L' G�/�,?? G_�[;; //1(,; LG�i'ILL%/ <br />Owner Mail Address Ciy State2ip <br />Tenant Mail Address City Stale/Zip <br />ElccMcalContractor MailAddress <br />State License Number <br />Proposed Use of Building <br />Description of Work to Be Done: <br />Ciry <br />1 <br />/ Z/�i / z i21r-�:'_ •/ � C U-' �/� <br />State2ip <br />Contract Price of Work <br />Contact Person (Plan Review) <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br />BE IN R,4CEWAYS, MC OR AC CP.BLE. <br />CITY OF EVERETT LOCAL SALES 7AX CODE IS 3105 <br />1 hereby ceRify that I have read and examined this application and know the same to be trve and <br />correcf. All prev�sions ollaws and ordinances goveming this type o/ work will be completed <br />whether specilied herein or not. i he granting o/ a permd dces not presume to grve authordy to <br />violate or cancel the prowsions ol any other sfate or local law regulating construction or the <br />peAormance oI construction. rhat / am authonzed by the owner o/ this property to perform the <br />work lor which application is made and 1 comp/y with the State Contractors Law 18.27 RCW and <br />296.200 WAC. <br />� <br />�` <br />ll,.. ,�� <br />, Sinnefuro <br />�/'�,/�� ,r <br />F a5Q!-U(n � <br />Phone <br />Phone <br />Phone <br />