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.evereriwa.org <br /> APPLICATIONS ARE ACCEPTED FRC%M 8 AM TO 4 PM -DEBIT&CREDIT CARDS ARE hOT.ACCEPTED <br /> I �'c,u2�oF D6z <br /> PROJECT AQDRESS <br /> - � Po � ��- a ��5y o <br /> ��s�y �,,�5 3 7 S�r�, �lf 9�a 3 a��-3 <br /> Owne� Mail Address City Sfate/Zip Phone <br /> Tenant Mail Address City State/ZJp Phone <br /> ElecVical Contfactor Mail Address City State2lp Phone <br /> State License Number Contract Price of Work <br /> Proposed Use of Building Contact Person (Plan Review) <br /> � <br /> Description of Wark to Be Dono: <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN R4CEWAYS, MC OR AC CABLE. <br /> � � <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hera6y certi(y that 1 have read and examined this app/ication and know the same to 6e true and <br /> correct. A!I provisions of/aws and ordinances govemmg this type of work will be completed <br /> whether specified herein or not. rhe granting ol a permrt does notp resume to give authonty to <br /> violate or cancel the provisions of any other state or/ocal law reguleting conshuction or fhe <br /> perfomtance oI construction. That I am authorized by the owner o(this property to perfo.�n the � ���—/�� <br /> work for which application is made and I comp/y with the State Contractors Law 18.271RCW and <br /> 296.200 WAC. � <br /> ? / . 7-a�-0 <br /> Signamre �ate <br />