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 <br />% U 3�fi �. ^r�-� r��� <br />PROJECT ADDRESS <br />Owner <br />Tenant <br />Mail Address <br />Mail Address <br />w I�'V f W �l0 <br />Ciry <br />City <br />State2ip <br />State2ip <br />Phone <br />Phone <br />�'Wn�( �ir'�rr�c S���Y 9�'`�E ^/w LkSk,rc..� a.�a Y'�as�' ytr33s—>6oa <br />Electrical Contraclor Mail Address City SWte/Zip Phone <br />V►9'�N�riq7��G 2 ", <br />Stale License Number Contract nce of Work <br />� Ne+✓ S �2 <br />Proposed Use of �uilding <br />Conlact Person (Plan Review) <br />Descriplion o( Y:ork to Be Done: W 1� NG� l 9/� Sy �,J%� ZOd !> S�✓' �. <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX ^.ODE IS 3105 <br />I hereby certily that I have read and exarnir�ed this <br />correcL All piovisions ollaws and ordinances gov <br />whefher specdied herein or not The grantiag ol a <br />violafe or cancel fhe pr visions ol any ether sfafe � <br />peAomiance o( constr � t�on. Thaf 1 am authorizec <br />work Ior which applic� f�n is rnadeland 1 comply �e <br />296.200 WAC. 9 / <br />h <br />�tion and know fhe same to be frue and <br />Iliis type o/ work will be completed <br />does not presume fo,ive authonty fo <br />law reguleting construcfion or the <br />o�vner o/ fhis property to perfonn the <br />Slate Contractors Law 18.27 RCW and <br />FEE <br />