Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FFJC 425-257-8857 — www.everettwa.org � p� ao -0 8 <br />APPLICATIONS AFE ACCEPTED FROM 8 AM TO 4 PM �"?� �`�9 J <br />(� 1 r� �! � �-�� ��1� �� - <br />---� <br />PROJECT ADDRESS <br />--�l�i <br />Owner <br />Tenant <br />ElecVical Contractor <br />;� <br />� fP 1 r7�1. <br />State License umber <br />Proposed Use o( Building <br />Description of Work to Be Done: <br />Mail Address <br />Mail Address <br />Mail Address <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 />City <br />Ciry <br />Stale/Zip <br />Stale/Zip <br />Stale/Zip <br />Contracl Price of Work <br />Contacl Person (Plan Review) <br />I hereby certify (hat 1 have read and examined this application and know the same to 6e true and <br />correcL AI! provisions ollaws and ordinances goveming this type o� work will be corupleted <br />whefher specilied herein or noL The granting of a permd does nof resume to give authonty to <br />violate or cancel the provisions o( any other sfate or local law reguPting construction or fhe <br />pedormance o( construchon. That 1 am authorized by the owner o/ this property fo perform the <br />work for which applicafion is made and 1 comply wifh the State Contractors Law 18.27 RCW and <br />296.200 WAC. <br />- 2U _v <br />FEE <br />�N' �`' % <br />�� `� �-I - `+S �/ <br />Phone <br />Phone <br />Phone <br />� c18C0 -�/°� 3 <br />