Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br />CI�Y OF EVERETT PERMIT SERVIGES / <br />3200 CEDAR STREET, EVERETf, WA 98201 (Dl�� �� <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />C,—%///� �� � <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />78 �e�Pr � cJ <br />PROJECT ADDRE <br />Owner U <br />��r�.�l��l �nvt� <br />Tenant <br />�S-� CIQc��I� <br />Electrical Conlraclor <br />Mail Addrass <br />Mail Address <br />LCC, �; 9�� <br />���Y <br />-��— <br />City <br />- SE S/JvKc <br />Cily <br />��s-rcc�9�g,-�; <br />State Liconse Number <br />��rnf�,e-� �nn�,nn ri�rK�! <br />Proposed Usc of Building <br />Description of Work to Be Dona: <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 />I hereby cerlily that 1 havo resd and examined this epplicafion and <br />correct. All provlslons o(laws and ordinances goveming fhis type <br />whether specified herein or not. The granfing of a permd does not <br />violate or cancel tlie provlsions o( any oflter state or local law regu <br />performance o( constniction. 'fhat 1 am aufhorized by the owner o� <br />work /or which applica(lon is made and 1 comply with the Stafe Coi <br />296.200 WAC. , <br />StalelLip <br />Slale2lp <br />Slale2(p <br />�.?l�,r�Ov <br />Con�t Price of Work <br />Phone <br />—�%� _ <br />Phone <br />�,uG-G�� <br />Phone <br />0 S �,.P(1 , <br />Conlact Person (Plan Review) <br />e to be true and <br />completed <br />ve au[honty to <br />tlon or the <br />b per{orm the <br />�8.27 RCW and <br />FEE <br />I _ � � <br />���6 y <br />