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 ��� 3—/n <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PROJ �TADDRESS� �n��✓� <br />�A� <br />Tenant <br />zroy <br />Mail Address <br />Mail Address <br />tiZ I�Y7,f 9��IF <br />Electrical CoNractor Mail Address <br />1Nt�ovEs95z v6 <br />State License Number <br />Proposed Use of Buitding <br />Descriplion of Work to 8e Done: <br />Evrr� �' <br />Clty <br />City <br />vt�J1 L//� <br />Clly <br />C-ivo/—�3z <br />1,�/1 9�ZG( �ytr}2JS•oJ� <br />Slate/Zip <br />Slate2ip <br />Phone <br />Phone <br />�.'� 2.f)�,79'0�1� <br />Sate2ip Phone <br />4r.�,G <br />Contract Price of Work <br />Con�acl Person (Plan Review) <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC UR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certily fhaf 1 have read and examined this application and know fhe sama (o be true and <br />carecf. All provislons ollews and ordinances goveming fliis fype o/ work will be comp/efed <br />whefher speclfied herein or not. The grenting of a pemirt does nof presume fo give aufhorify fo <br />Nolafe or cancel fhe provislons ol any ather sfate or local law regulefing constnictron or fhe <br />peAormance o/constnrctlon. That I am aufhorized by flie owner ol fhis property to perfomi fhe <br />work lor whlch appl7cafion Is made and 1 conrply wifh the Slafe Confrecfors Law 18.27 RCW anA <br />FEF <br />� <br />�k�U� -03:L <br />