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 <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />�i _,�- �1��1(�P, i-4�� <br />PROJECT ADDRESS <br />Owner <br />Tenant <br />Eledrical Contractor <br />Mail Address <br />Mail Address <br />Meil Address <br />i N �rc)� ���I�?� �— <br />Slate License Number <br />Proposed Use of Building <br />Square Footage (It residential new construction, remodel or addilion) <br />City <br />City <br />City <br />�S-�6 -aZ <br />��� �-0g9 <br />State2ip <br />� �n <br />State2ip <br />� q,('�.�- <br />Contre lc Pnce of Work <br />Contact Pereon (Plan Review) <br />� °Fl1 <br />Phona <br />Phona <br />Phone <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby ceRify fhat 1 havo read and examined this application and know the same to be frue and <br />correct. All provisions o/laws and ordinances goveming this type ol work will be completed <br />whether speci�ed herein ornot. The granting o/ a permrt does nofp resume to give authority to <br />violate or cancel the provisions ol eny other sfate or local lew reguleting conshucHon or the <br />peAomiance o/ consirucNon. That 1 am authorized by the owner o/this property to peAorm the <br />work for which application is made and I comply with the Sfefe Confracfors Law 18.27 RCW and <br />296.200 WAC. <br />FEE <br />��Z�S a� <br />