Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PEF�MIT 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 <br />�0����7 �I,� ��,�,� �� <br />PROJECT ADDRES <br />� <br />Owne� 1`�� `� <br />� <br />Tenanl <br />-�I:A �!� <br />Elecfrical Contractor <br />Mail Address <br />Mail Address <br />�/t-Jc c Ci(, `�,�n <br />State License N�mber <br />Proposed Use of Building <br />Address <br />�, r,i�- <._ <br />Ciry <br />City <br />:` t� , ��.t,, <br />City <br />1/} �� <br />Slate/Zip <br />Slate2lp <br />� <br />Stale2ip <br />Phone <br />Phone <br />Phene <br />E/U � l , o ., _ <br />Contract Price of Work <br />Conlact Person (Plan Reviow) <br />Description ol W ork to Oe Done: Y�.- �r ; � ��U O ��� ,.-_ .r� �, `✓�/ � i <br />NOTE: W IRING IN NON-DW [ILINGS IS REQUIRED TO FEE <br />DE IN RACEWAYS, MC OR AC CACiLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I heieby ceriily Ihaf 1 have read and exarnined fhis aPQlicafion and know the same to be true and ��, �� 1 G� I l,� Q- <br />con�ecL All provisions o/laws and orclinances governmglhis type of work will be complefed <br />u�hefher spealred herein or noL The granting o! a pemuf dces nof resume tc give authonty fo <br />violale or cancel fhe `�rovisions ol any other stafe or local law reguPting consGvcfion or the <br />perlormance o/ constnicfion. Thal 1 am aufhorrzed by the owner oI thrs property ro perfomi fhe <br />�vork lor which application �s rnade and 1 comply wi(h fhe otate Contractors Law 10"?7 RCW and <br />296 200 Ih�AC. <br />t�-�� - � <br />— � , O �� % /ll - --� �� <br />