Laserfiche WebLink
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.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br /> � � `� >>/'rJE'K_ �L C/ <br /> PROJECT�DDRESS 7 �,5� <br /> "1.5,1 <br /> �1 �t�� �:�-i�li�i �.�� l�� /-'k l� � �i/� �F_ii I�.�.7 �� IS�s' <br /> Owner Mail Address City State2lp Phone <br /> Tenant Mail Address City StalelZip P ona <br /> y�:�' <br /> �s y <br /> /'�'i-�-�l/J�,� �swS �(n� .('(i �li%� 1�1% iili�il;��-7' ��'�i �r., <br /> ElecMcal Contractor Mail Address City Stale2ip Phone <br /> c��L.� nf rt i y.2 �l� <br /> State License Number Contract Price of Work <br /> S FiZ <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Descnption of Work to Be Done: C, jf.�j/1/L�-r ��,f'��� �i ''p ,� <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR�AC CABLE. <br /> � �ci <br /> -5 <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby certily that 1 have read and examined:his application and know the same to be true and E C;`?�,J ' 1 1 '� <br /> correct. All provisions o(laws and ordinances governmg this type o/work�vill be comp/eted <br /> whether specified herein or not The granting o/a permit does not presume to give authonty to <br /> vio/ate or cancel the provisions o/any other state or local/aw regu/ating consWction or the <br /> performance o/construchon. That 1 am authonzed by fhe owner of this properYy to peAorm the <br /> work(or�vhich application is made and 1 comply�vith the Sta(e Contrectors Law 18.27 RCW and <br /> 296.200 WAC. <br /> � <br /> �� ��- 1^ �� .� o <br /> �nawre � <br /> / ate <br />