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 ACCEPTEU FROM 8 AM TO 4 PM <br /> ,) � �, <br /> / j-,— r-� - i7 ! 1 / <br /> �V� � ,�.� ./� �� �1_t.��( � <br /> PROJECT ADDRESS <br /> Ownef Atail Ad:hesc City StaleQip Phone <br /> Tenant I.tad 4ddress Gly Slale!Zip Phene <br /> [leclrical Conlr.vclor r.tmi Addwss cay� State2ip F'hone <br /> Stale Lir.ense Number Conlracl Price of Work <br /> Proposed Use of�uildin9 Contacl Person (Plzn Revicr:� <br /> _ I <br /> Description of Work to Be Done: •v�ci ' � � <br /> NOTE: WIRING IN NON•DWELLINGS IS REQUIRED TO FEE <br /> DE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ceAily fhaf I have read and examined this application and knou�fhe same fo be tnm and <br /> correcL All provisions o(la�vs and ordinances govemmg fhis f}�pe o/�rork�vill be cornple(ed <br /> whefher spoci(ied herein or noL The�ranfing of a penml does not prrsumo to give aufhonty to <br /> violate or cancel the ��ovisions o/any other stafe orlocal la�v re�ulafing construcfion or fhe <br /> perfo�mance o/cons�ruction. That 1 am authorized by(he owner o/this property to perlomi the <br /> �vo;k Ior whicli applicafion is nrade and 1 comply wifh the Sfafe Conlractcrs Law 78.27 RCW and <br /> 296.200 l4�AC. <br /> �, � �.-�� �J, .-�� � `- 9 - D� <br /> SignaWm Dale <br /> � <br /> � rJ�D�{-t7r/� <br />