Laserfiche WebLink
L <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 �'J � 7—O � <br />425-257-8810 - FAX 425-257-8857 — w�,vw.everettwa.org C p�`D'� <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />2 G o � w. ���, �l�-�� <br />PROJECT ADDRESS <br />��� � �Wl�v� . wl� <br />Owner il Address <br />Temnl <br />C/�� V�-'-�-� <br />Eloclrical Conlractor <br />Mail Addre�s <br />Mail Address <br />�c v-e ..�._t,� , wtl+ �� 2 v� <br />i.... �nvh,'I 1r� /�/�1 <br />Ciry <br />Cily <br />Cily <br />l_ � <br />Stale License Number <br />_�- <br />Proposed Use o( Buildinc� <br />Description a( Work to �e Done: � J h h`w1 1� �""Li <br />�'� C� ��f F�Y� i (_.! /�..(i <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />Ih <br />c <br />C <br />Stale/Zip <br />Slate/Zip <br />Stale/Zip <br />Contracl Price of Work <br />Conlacl Person (Plan Reviow) <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />! here6y certily fhat 1 Have read and examined Ihis applicnfion and know fhe same fo be We and <br />correcL All provisions o/lau�s and orrlinances govemmg this type o/ �rork will be cornpleted <br />whether specified herein or noL The c�ranfing of a pernut does nof resurne to give authonty fo <br />violafe or cancel the provisions ol any other stafe or local law reguPting construcfion or fhe <br />perfomiance o/ construction. That 1 um autho�ized 6y the o�ti�ner of this �roperty to perlomi fhe <br />work for �vhich applicafion is mado and 1 compl}� �rilh the Sfafe Contracfors Law 18.?.7 RCW and <br />296.200 WAC. <br />FEE � <br />�� . <br />Phone <br />Phone <br />Phone <br />�C.���C'r� _c, 3� <br />