Laserfiche WebLink
ELEC�RICAL 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 %��b —D1� <br />7u1� <br />-�"`/u7 �'ICi',^G�25oY� �d(�n7z1,n (%�iJ f��2�— <br />?ROJECT ADDRESS <br />Owner � <br />( )�Sc� <br />Tenanl <br />�ii)Pi1�r� f <br />�.�� <br />Electrical ontracioi <br />1-;q/',r���� 9�,, ��c� <br />State License Number <br />Proposed Use of Building <br />Descriplion of VVork to Be Dane: <br />Mail AdAress <br />Mail Address <br />Mail <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 5105 <br />I hereby certify fhat I havo /ead am <br />rorrecf. All provisions o/laws and <br />whefher specilied herein or noL Ti <br />violato or cancel the provisions o/� <br />perlormance ol consfa�cfion. Thaf <br />work lor �vhich applicafion is mado <br />296.200 WAC. <br />� <br />Ciry <br />� <br />Ci�y <br />� <br />City <br />State/Zip Phone <br />Stale/Zip <br />Stale/Zip <br />Phone <br />/ � !�. <br />Phone <br />�/S'U�J <br />Contract Price o( Work <br />��r� C�L�n� Cya�� ��i 7-���L <br />Conlact Person (Plan Review) <br />iC <br />fhis application and kno�v the same to bo true and <br />govemmg fhis type e/ work �ai0 be complefed <br />�l a pennd does not presumo to give aufhonty to <br />ife orlocallaw iegula6ng consWctian orthe <br />ized by fhe owner ol this p�opeRy fo peAomi fhe <br />'v wifh the Stafe Contractors Law 79.27 RCW and <br />FEE <br />�� o� — <br />��v�-i? � <br />