Laserfiche WebLink
ELECTRICAL PERMIT APPLICATIC�": <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 />6 � 16 --� s <br />Co S[�6-a�� <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />� %�/ �7/S/��`1nc.C� br. <br />PROJECT ADDR <br />Owner <br />Tenant <br />Address <br />Mail Address <br />Eleclrical Contractor �/ Mail Address <br />State License Number <br />Proposed Use of Building <br />Description of Work to Be Done: <br />Ciry <br />Ciry <br />City <br />StatelZip <br />State/Zip <br />Slale2ip <br />Contract Price ot Work <br />Contacl Parson (Plan Review) <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS J105 <br />I hereby certi� thaf I have read and examined this applicafion and know the same to be true and j- uv? (,'�' �C" � <br />correct. All provisions o(laws and ordinances governmg fhis type of work will be completed <br />whether specified herein or not. The granting of a permd does not resume fo give aufhonty to <br />violate or cancel the provisions of any other state orlocallaw reguPating construcLon cr the <br />pedormance o/ construchon. That 1 am authonzed by the owner o/ this p�operty to pedorm the <br />work Por which application is made and 1 comply with the State Contractors Law iB.27 RCW and <br />296.200 WAC. <br />Phone <br />Phone <br />Phone <br />