Laserfiche WebLink
� <br />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 & CREDIT CARDS ARE NOT ACCEPTED <br />�0� I I moNTr��►A �-ar5 <br />PROJECT ADDRESS <br />`AKC�A�.,h �IocnC; <br />Owner Mail Address City Stale/Zip Phone <br />Tenant <br />Mail Address <br />Mail Address <br />c�,r�m�E I Go� Kti <br />Sta e License Number <br />�I �--' <br />Proposed Use of Building <br />City <br />Cily <br />Descriplion of Work lo Be Done: �J )� N�W �jr ��" <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 />State2ip <br />Stale2ip <br />�/ So 0 <br />Contract Price of Work <br />Conlacl Person (Plan Review) <br />1 heie6y ceitily thaf I have read and examined this application and know fhe same to be fn�e and <br />conrct All provisions o/laws and ordinances governinr� this type o( work will6e completed <br />whelher specified herein or noL 7he c�ranting ol a pernuf does not resume to give aufhonty to <br />violafe or cancel fhe provisions ol any ofher state or local law rec�uPting constn2lion or the <br />perlormancc o( conslruction. That 1 am authorized by fhe owner o/ fhis property to peAorm the <br />work (or which applicafion is made and 1 compty with the State Confractors Law 18.27 RC W and <br />296.200 WAC. <br />�/� �S' � <br />5��'r v7 <br />FEE <br />Phone <br />Phone <br />