Laserfiche WebLink
ELE� TRICAL 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 - DEBIT � CREU!T CARDS ARE NOT ACCEPTED <br />Ilos }-lolb�-o�l< (-�.�c <br />PROJECT ADDRESS <br />f 3a�t� f{���u-w� <br />Owner <br />Tenant <br />�j4 (t <br />Electrical Contractor <br />State Licerse Number <br />Mail Address <br />Mail Address <br />Mail Address <br />- E�e�eit <br />1705 �ol6�oaic A�e, <br />City <br />City <br />City <br />Proposed Use of Building <br />Descri lian of Work to Be Done: __ `--, �+ �: �� l <br />p � .i.._�Jo f c c� 10 � <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />Fve.�-f� <br />Stale/Zip <br />State/Zip <br />State2ip <br />(,JA, 9$203 <br />Phone <br />4��-4��-6`�'�� <br />Contrect Price o( Work <br />Contact Person (Plan Review) <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby cerlily tlmt I have read and examined fhis application and know the sarne to be true and <br />correct All provisions ollaws and ordinances govemmg fhis type o/ �vork �vdl be completed <br />whether specitied herein ornot The granting o/a permd does not �resume fo give authonty ro <br />violafe ur cancel the provisions ol any ofher state or local la�v regulating construcfion or the <br />pedormance ol construchon. ihaf 1 am aufhorized by fhe owner of this property to peAorm the <br />work lor which application is made and 1 comply wifh the Stafe Confractors Law 18.27 RCW and <br />296.200 WAC. <br />O� <br />FEE <br />.J--� <br />Phone <br />Phone <br />