Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 982�� <br />425-257-8810 - FAX 425-257-8857 — www.eve� �twa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />������`l (,r�,� ,i�;._ �� r-��:�,��r �5��� <br />PROJECT ADDRESS <br />I� '�I ,( � � � �S,�.IL � ll �� � � .•A'i (, 1 w��:. �� ti <br />Owner Mail Address City State2lp Phone <br />Tenanl <br />Mail Address <br />City <br />State/Zip <br />Phone <br />{�.i�.l' c: 1��.��c I.1�. I''.c %:i..� to` � /i��1-�ll �.. `/:s'L`i1 i��7�"iy�i"S--SII� <br />EIBc�rical Conlraclor A1ail Address City Slale2ip Phone <br />���� �,�. L7 �-(. ..� �I (� r <br />State License Number <br />Proposed Use ol Buiiding <br />� c�� <br />�� OG✓ <br />Contract rice of Work <br />Contar,t Person (Plan Review) <br />� <br />Description ot Work to Oe Dona C rP�>�� (�c ��:..- 1,�,; �. :. � �4-•�. 5-�- .(•„ �-i e.,�-S �. �,i� -�-< ��,�� {-- 5.�. �. <br />'i � 1� <br />NOTE: WIRING IN NON-DWEILINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABIE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />/ here6y certil}� fhat 1 have read and exarnined U�is applicnfion nnd hno�v fhe same to be truo and <br />correcL All provisions ollaws and ordinances govemmg fhis f}pe o/ work will be complefed <br />whefher specified herein or noL The granfing ol a permd does nof resume to give authonty fo <br />violafe or cancel the provisions o� any other state or local lnw reguPting consWcfion or fhe <br />pedcmiance o! const�uction. Thaf 1 am authonzed by fhe owner o/ fhis property fo peAonn the <br />work /or which applicafiun is made and 1 compty with the Stafe Confractors Law 18.27 RCW and <br />296.200 WAC. <br />�lG , �. <br />� L �I2 <br />FEE <br />