Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-9810 - FAX 425-257-8857 — www.everettwa.org <br />APPI 1t;ATIONS ARE ACCEPTED FROM S Anl TO 4 PM <br />/ 9 2 � H o.2�,�0 �,,� l� �1 l� � L <br />�' v�,,,=e H �''i �� �� �1 <br />PROJECT ADDRESS <br />S � �( � O'� <br />� G::� �S�pl <br />Y'Av� L 5�,����n/ �9�9 �IoC�Ow i��t.e ,�� � �.��,��i ��l 7��� <br />Owner ldail Address Ciry Stale/Zip Phone <br />(���) ��� ���� <br />Tenant <br />Electrical Coniractor <br />License Nuin6er <br />Proposed Use of Building <br />Mail Address <br />Mail Address <br />� <br />Descriplion o( Work to Re Dona �� V� �" <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 />I hereUy certily fhat 1 have read and examined this applic <br />conecL All provisions o( laws and ordinances c�overmng <br />whethcr speci6ed hcrein or noL The granfing o! a pemid <br />violate or cancel fhe provisions o�an}� ofher stafe or loca <br />per(omiance oI construction. That I am authorized by thf <br />work lor �vhicb applicalion is rnade and I compty wifh fhe <br />296 200 WAC. / <br />City <br />City <br />Stale/Zip <br />State/Zip <br />Contract Price o( Work <br />Contacl Person (Plan Review) <br />V �u <br />and know fhe sarne fo ba true and <br />ype ol work will be completed <br />� not resume to give aufl�onty fo <br />�e�uPting cons6uchon or the <br />er ol fhis propeRy fo perform fhe <br />Conlracfors La�v i8.27 RCW and <br />vs, �t,, �� <br />FEE <br />Phone <br />Phone <br />F Cx'( 6`� � ( � <br />