Laserfiche WebLink
� <br />:, <br />ELECTRICAL PERMIT APPLICATIO�V <br />CITY �F 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 FRO��I 8 AM TO 4 PM <br />PRO�J CT ADD ESS rD :�� �Yl�ka' O_� .� I C�_T�f,YC'�� � �.V ��� � �b <br />) <br />Owner <br />Tenant <br />Eleclrical Contrector <br />P-rc�I�TLq���N <br />State License Number <br />Mail Address <br />Mail Address <br />Mail Address <br />�aSt �x-�r Po�1 r� c � r�12+ <br />Proposed Use of Building <br />Description of Work to Be Done: <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 />City <br />Ciry <br />Slate/Zip <br />Slate2ip <br />State/Zip <br />� I S�f� <br />Contract Price of Work <br />rn� a� <br />ContactPerson (?lan�view) <br />1 hereby certify fhat I huve read and examined this appfication and know the same to be true and <br />correct All provisions ollaws and ordinances govemmq this type o(work will be completed <br />whelher speci(ed herein or not. Tho granting o(a pem+d does nof pr=sume (o give authonty to <br />violate or cancel the piovisions o! any other stafe or local law regulating conslruction or the <br />per(ormance of construclion. Thaf 1 am aufhonzed by tYe oc�ner of this property to pedorm the <br />work lor which application is made and 1 comply wdh tho Stafe Contracfors Law i&27 RCW and <br />296.200 WAC. <br />i <br />FEE <br />�� �o �-u3 � <br />Phone <br />Phone <br />Phone <br />