Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERIVIIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.evereltwa.org <br />APPLICATIONS ARE ACCEPTcD FROM 8 AM TO 4 PM <br />�30 � C� I,v � 1"t Q i� ��ke I/�e41 �1 . <br />PROJECT ADDRESS <br />Owner <br />Tenant <br />�l <br />Electrical ConUaclor <br />��Q <br />Stale Lice�se Number <br />Proposed Usc o( �uildinn <br />y63L /ti'�. <br />Afail Address <br />Mail Address <br />blail Address <br />Descrip�ien o11NorF. to �a Donc: � <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, AdC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />t4SF <br />Ciry <br />Ciry <br />City <br />,! .A <br />State2ip <br />Slate/Zip <br />Sta!NZip <br />ConL-acl Price of 4Vork <br />(�6) <br />%�S 33 i - I <br />Phone <br />Conlact Person (P12n Review) <br />r <br />I hrieby certi!}� Ihat 1 have read and examined IRis application and kno�v fhe same to be frue and <br />cunecG Flfl provisions olla�vs and ordinances govemin� this fype o! work will be cornpleted <br />rrhclher specilied herein or noL The grantin� oI a pernut does not preswne to give aufhonty to <br />�„�lafe or cancel fhe provisions o! any ofher sfafe or local law regulafing construcfion or the <br />a��rfonnance ol co�istruclion. 7hat 1 am aufhorized by fhe o�rner o( this property to peiform the <br />i, ork lor �vhich application is made and 1 comply wilh fhe Sfate Conlractors Lsu� 78.27 RCW and <br />296200 WA�. <br />�- 2 nd S <br />FEE <br />Phone <br />Phcne <br />'_�)� ����i�l'�J <br />� <br />