Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETf, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FRON 8 AM TO 4 PM - DEBIT & C4EDIT CARDS ARE NOT ACCEPTED <br />81lo E t�trtr�i�f� �ii�,.1 p�l�cr <br />PROJECT ADDRESS <br />Owner <br />Tenant <br />A1ail Address <br />tdail Addrese <br />City <br />City <br />SlatelZip <br />State;Zip <br />Phone <br />Phone <br />f�dM �-.����;c. Z<<i� ��N� r-�� ,�r�- ��,� �25Zj ���� <br />E:eclrical Conlraclor hlail Address Cit, State.2ip Phone <br />Proposed Use .f <br />Descnption o( Wark to Be Dane: <br />NOTE: WIRING IN NON-Db'VELLINGS IS REQUIRED TO <br />BE IN RACEWAYS. MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />� lFlc'li�.�o <br />Conlract Price of Work <br />Contact Person (Plan Review) <br />1 hereby certity that 1 have read and examined this application and knew the same to be true and <br />correct. All prov�sions ollaws and ordinances goveming this fype oI work �vil� be comp/eted <br />whether speci(ied he�cin or noL The granfing ol a permd does nof resume to givo authonty to <br />violafe or cancel the provisions of any other state or local la�v reguPting cocsWc!�on or the <br />performance o/ construchen. Thaf I am aufhonzed by the o�sner o( th�s prepeRy to per`orm the <br />�verk �or which application is made and 1 comply wrth the Sfate Contractors Law 78.27 RCW and <br />296.200 WAC. <br />FEE <br />