Laserfiche WebLink
�LECTRICAL 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 /> APPLICATION5 ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT& CREDIT CARDS ARE NOT ACCEPTED <br /> �� , ���i �C��� � /-1 ��� — <br /> PROJECT ADDRESS' <br /> �e�� �y ��� I�>a � I ��., i {- Av� LVc��'� �: � A ��3icl y�Sd510 GG <br /> OWnef Mail Addreas � City Slale2ip Phone <br /> Tenant Ma�i Addmss City StatelZip Phone <br /> Electrical Contraclor Mail Address City State/Zip Phone <br /> State License Number Contract Price of Work <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work to Be Done: � ���/� t-�-( �` ��t ��Cl C! _ <br /> N07E: WIRING IN NON-DWELLINGS IS RE4UIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> l <br /> — I <br /> , CITY OF EVERETT LOCAL SALE5 TAJ(CODE IS 3105 i <br /> � I hereby certily that 1 have reatl and ex3mined;his application ano know the same to be true and <br /> 'I ',, r.orrect. All provisions ollaws and ordinances govecamg(his type o(work will be completed <br /> �.vnefher specdied herein or noL The gianting of a permd dces netPmsume to give aurhonty!o <br /> vielate or cancel the provisions ol any e(her sfa(e or local law rzgu ating construction or the I <br /> � periermance o/censrrucfion. Thaf I am authonred by the owner of this properTy to pederm the � <br /> I �vork lor which application is made and I comply wdh the State Contractors Law 78._7 RCW and <br /> 296.200 WAC. <br /> i• �i i <br /> „��� _'�( % " �. ''�/ � <br /> , <br /> , v��i�::�� � � <br /> ��'S' r�i t re - Date <br /> I <br /> I <br /> I --- <br /> . � <br />