Laserfiche WebLink
ELECTRIGAL PERMIT APPLICATION <br />CiTY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERFTT, WA 98201 (�—�d�"�2 <br />425-257-8810 - FAX425-257-8857—www.everettwa.org ���b`��� <br />P.PPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />���_ �����.✓�_ <br />PROJECT ADDRESS <br />Owner <br />Tenant O � A /� <br />V� <br />Stale License Number <br />�ar� <br />Proposed U of uilding <br />Mail Address <br />Mail Addres� <br />Mail Address <br />Ci�y <br />City <br />� <br />CiTy <br />ZS,3 <br />Square Footage (If residential new construction, remodel or addition) <br />Description of Work to Be Done: <br />. , <br />!s I� <br />Stata2ip <br />Slate2ip <br />Contract Price of Work <br />Conlact Person (Pian Review) <br />ixrd- , <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE , rn� <br />�U <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1� 9/0 <br />Phone <br />Phone <br />rnone <br />1 have read and exornined this applical��n and know the same fo be (rue and � 1�� �_ I( I <br />ns of laws and ordinances govemmg this type of work will be completed l 1 <br />erein ornot. The granting o/a permit does not resume fo give authority fo <br />r provisions o/any other..tate orlocal iaw reguP(ing construction orthe <br />sfruction. That 1 am authouzed 6y the owner of this property to peAorm the <br />..�r...., !o ..,nAa and 1 emm�h� with !he S�nfa ContfaC/ors LeW 18.27 RCW end <br />