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 — wuvw.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />�3� I �l Q��C�s _ <br />PROJECT ADDRESS <br />Owner <br />� <br />Tenant <br />3�r�1 <br />Mail Address <br />Mail Address <br />v-�� G�/���v � <br />City <br />Ciry <br />State2lp <br />Slale2ip <br />�y�5� <br />a3�r `! �oy <br />Phona <br />I,`�c��� ��� �(ed-�� < i23oY s� s��iU� .�t� (� u% �/��2� 3 2 3�� 3l� <br />Electrical ConVaclor Mail Address City StalelZip Phone <br />� � �/�o �-� ��l�X <br />Stale License Number <br />S �/�2 <br />Proposed Use of Building <br />Descriplion of Work to Ba Done: <br />NOTE: W IRING 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 />I here6y certily thaf I have read and ex� <br />correcL All provisions ollaws and ord'n <br />whether specified herein or not The g� <br />violafe or cancel the provisions of any c <br />perfomiance olconslruction. That l arc <br />work lor which applicafion is mado ano <br />296200 WAC. <br />��%/���7.����1 <br />Cont acl Plice o�rk <br />Contact Persan (Plan Review) <br />this application and know the same fo be true and <br />goventl��g th7s type ol work will be complefed <br />�f a pemid does rofp resume to glve authonty to <br />ite or local Inw reguleting constructlon or the <br />ized by tlie owner of this property to pedomi fhe <br />y with tho State Contractors Law 18.27 RCW and <br />�-�7�1( <br />FEE <br />�� � vJ ` � S � <br />