Laserfiche WebLink
��Q�-j"l��f <br />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•everethva.org <br />APPLICATIONS ARE ACCEPT�D FROM 8 AM TO 4 PM <br />�y0 � Na ��sah P� �Ki � � <br />PROJECTADDRESS <br />�Wf18f <br />Contractor <br />Mell Addrosa <br />� <br />Addrass <br />Adtlre�s <br />�1I�J „51�1�'L� <br />tete Lir,ense Number <br />��� �a c Lc?'��� � <br />Proposad Use of Buildl <br />Descrlption ot Work to Be Dona: <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 />Cly <br />Ciry <br />City <br />/O � � 'O�7 <br />S1ale2ip <br />Stete/Zlp <br />Slete2ip <br />�'� �i.yQb <br />Y�u•�r�� <br />� -f-+ <br />Contred Price of Worl: <br />�� (�� �'��`Vlli v � <br />onlad Person (Plen Review) <br />thet 1 heve read and examined fhls applicefion end �now tfre sen.e to 6e true and <br />visions o/lews and ordinences goveming this type of work will be wmpleted <br />ed herein or not. The granf/ng ol a permrt does not resume lo give eufhorify fo <br />31 the provislons ol eny other stete orlocal !ew reguPling conshuction or (he <br />constnrction. That I am eufhorizad by the owner o/ this property fo peAortri the <br />applicafion is made end 1 comply with fhe Sfate Contreclors Law 18.27 RCW end <br />� <br />FEE ���oG <br />Pho�e <br />)�3y 7 <br />, <br />PMne <br />�'f� <br />Phone <br />���-��-� <br />