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 />APPLICATION;i ARE ACCEPTED FRGM 8 AM TO 4 PM <br />(�-1�z� SE Cc,�-�--z( h^e�� �i/,�y <br />PROJECTADDRESS � 1��iEr] -%� -�LS <br />�' <br />� �r_i.lr✓ � �qlrv`��i ! � N/N�Y �(n"r�� �v . �'�r'� (�'�/i � /��:ln/ �`.:L^� G ���<3 <br />Owner <br />Mail Addross <br />Cily <br />Stale2ip <br />Phone <br />/ <br />J �� CX.� .� �SC/Yy'.� c <br />t <br />Tenanl Mail Address City Slafe/Zip Phone <br />C' .. I n �, i; --�-, G �l 1� � �' _ �._ 1__ <br />Electrical <br />Slate License Number <br />Proposed Use of <br />Mail Address <br />Description of Work to 6e Done: � <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEVJAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certily (hat 1 have read <br />correct. All provisions o(laws a <br />whether specifad herein or not. <br />violate orcancel fhe provisions <br />perfomiance ol ep,nstruction. T <br />��, ork (or which ap lication is me <br />296.200 WAC. i � <br />- y;Zc G <br />City Slale2ip " Phone <br />`��rj � . � <br />Conlract Price of Work <br />�� � <br />� /.'Sn l�✓ I��� . - <br />Contar,t person (Plan Review) <br />this application and know fhe same to 6e true and <br />govemuig this type o( u�ork will be completed <br />�l a penn�t does not presuma fo give aulhonty fo <br />�te or local law reguleting consfrucfion or fho <br />ized 6y the o�vner o/ fhis property b perfomi fhe <br />y�vifh fhe State Confractors Law 18.27 RCW and <br />FEE <br />� � �� <br />y� <br />� r, � I 9 <br />V <br />