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 />P��� 1 Ol`J�l� 11�n� F�t)�'i C/I�P�P_� �,fJl� l 0v�03 <br />�� <br />Owner <br />oNE <br />Tenant <br />�I��n <br />Eiectrical Contractor <br />State License Number <br />o� wa2 �r co �'� <br />Propased Use of Building <br />Descriptian of Work to Be Done; <br />Mail Address <br />Mail Address <br />Mail Address <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 />Ciry <br />City <br />Ciry <br />State2ip <br />State/Zip <br />State/Zip <br />Contract Price of Work <br />FJ i zal�e�1, S�e►�serJ <br />Contact Person (Plan Review) <br />FEE <br />y ceRily that 1 have read and examined fhis application and know the same to be true and <br />. All provisions ollaws and ordinances governing this type ol work will be completed <br />r specified herein or not The granting ol a permrt does not presume to give authonty to <br />or cancel the provisions o/any other state or/ocal law rugulating consWction or the <br />iance ol construchon. ihat 1 am authonzed by the owner o( this property to pedorm the <br />r which app/ication is made and 1 comp/y with the Sfate Confractors Law 18.27 RCW and <br />�d�tl1-ll7 <br />Phone <br />Phone <br />Phone <br />