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 />�U40� — �Ue �(��cte�v 1���/ _ �VE�'�-`-�- , u.r� <br />PROJECT AD�RESS � � V � s v � ' ` iL�� � �j� <br />i T`� `l <br />�c� q�.l UCsu,�1�v� <br />Owner A1ail Address City State/Zip Phone <br />N <br />Tenant <br />Eleclrical <br />hlail Address <br />�_ ►ti c <br />I�tail Address <br />Cily <br />�-261- S�a�c�� �I <br />Clly <br />��--e�-�� a�� k-r - :; ��-�� <br />Slale License Number <br />Proposed Use of Building <br />Descriplion o( Work lo �e Done: <br />' �.i l� ;' <br />NOTE: W IRING IN NON-DVI�ELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR P,C CAE3LE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />Slatc/Zip <br />� <br />SIa�MZip <br />a3� -�j 6Z� <br />Phonc <br />y�ll� �) �5�� <br />Phon� <br />� 3� � <br />Conlracl Price of Work <br />—� l� <br />Conlacl Person (Plan Reviewj <br />��; ���-�e��! <br />1 hereby certily fhaf 1 have read and examined fhis application and know the same to be tiue and <br />correcL All provisions olla�vs and ordinances govemmg fhis fypo of work will bo comp/oled <br />u�hether speafied herein or noL The granfin� o! a penmt does not �resumo fo give aufhonty fo <br />violafe or cancel the �rovisions o(any other state or locallaw regu�ating construcGon orfhe <br />perlormance o(consfrucfion. Thaf 1 am aufhaized by fhe o�vner o/Ihis property lo pedomi (he <br />�vork 70� whicl� applicafion is made and I comply �vifh the State Confractors Law 18.27 RCW and <br />296.200 WAC. <br />FEE <br />