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 - ww�m everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />� 22� ��"3oh 5�, ��e�e � w� ��p3 <br />PROJECT ADDRESS <br />O�vner <br />Tenant <br />� W <br />� la� M�, � <br />Nail Atldress <br />IAail ACdress <br />Ci�y <br />City <br />5�. ��e„�'("fi ii1/f� <br />State/Zip <br />State2�p <br />ELctrical Con�faClof "✓lzil Address Cily __ _ Slale�Zip <br />State License Number <br />Proposed Use f Building <br />I <br />Square Footage (If residential new consiruclion, remodel or addition) <br />C �Zo6�o61 <br />� ��a - i�-- <br />Contract Price of Work <br />� 17-2»-��� <br />Phone <br />Phone <br />Phone <br />Contact Persen (Plan Keoie�v) <br />Description of Work lo Be Donr � 4[' C �jr�l� (,{ v� 6'Sr �� �•� o i.t� •[nu r� <br />�Uh(`I�G✓7 �D�ceS <br />NUTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />[iE IN RACEWAYS, MC OR AC CABLE . <br />CITY OF EVERETT LOCAL SALES TAX CJDE IS 3105 <br />y certily that 1 have iead and examined (his applicahon and know fhe same to be tn�e and <br />. All provisions of /aws and ordinances govemmg this type ol �vork wdl be comp/eted <br />r speci(ed herein or noL The granting ol a peimil does nof resume lo give au(honty to <br />or cancel the provisions o/any othe� stafe or local law reguPfing consfruc��on or the <br />iance o( construchon. Thal 1 am authonzed by the owner o/ fhis �roperty to pedonn Ihe <br />�r which applicalion is madc and 1 compty wifh fhe Sfatc Confractors Ca�v 1827 RCW and <br />� <br />FEE <br />C/� ��- U�� <br />