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 —vwvw.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> i� <br /> ':/ / �7 /; iric._ ..:,n j, ��f- =; �, <br /> PROJECT ADDRESS <br /> � <br /> /_ _� . �_� � � /� . ,� <'l+� � �� I.'c���1 c�//.. � J'% /i-,: --j� <br /> Owner Mail Address - City Stale/Zip Phone <br /> h <br /> Tenanl Mail Address Cily Stale2ip Phone <br /> i <br /> ��C�.-i•.:� .,� v,� <br /> %'� "'[" -- . ' _ _:;.,. f�c' .:u�' �i , - --� �r`k , ,n ,� , .@'a <br /> h] '�-`'� �:/'� 1'' isr <br /> Gectrical Conlraclor, �tail Address Ciry Slate2ip' Phone <br /> /;' _ <br /> . , .;/'� �GL. <br /> Stale License Number Contracl Price o(Work <br /> / .' <br /> Proposed Use of Building Conlact Person (Plan Review) <br /> Descriplion o(Work to De Dono: (<�.i�< (' �i/.� i1 c,<� , <br /> � <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FI—EE <br /> DE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> i I hereby ceriily thaf 1 have read and exemined fhis application ond know the same to be L1ie and <br /> correct. All provisions oI(aws arrd ordinances govemmg thrs type ol work will be cornpleted �U �U ? " 0 �"� <br /> whether spealied herein or noL The granting o/a pennif does nof resume to give authonty fo <br /> violafe or cancel the provisions ol ony oU�er sfate or lecal law reguPting construcfion or fhe <br /> perlormance oI conslrucfion. That 1 ern eutho�ized by the o�vner o/(his property fo perlomt the <br /> work for�vhich application is mado and 1 compl}��rith the Slafe Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> �� - � � <br /> _ i� -� <br /> Signatwe � Dato <br />