Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT F'ERMIT 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 />3�1Z ,/�G�C��'�i�er f�!/�, <br />PROJECI'ADDRESS <br />Tenant <br />Eleclrical Contraclor <br />i// �,.'� 9�G/k <br />Stalc Licensc Number <br />s,�,� <br />Pwposed sc o Buildinc� <br />Descriplion o( Work to Be Done: <br />M11ail Address <br />Mail Address <br />Atail Address <br />NOTE: WIRING IN NON-DVVELLINGS IS R[QUIRED TO <br />DE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETI LOCAL SALES TAX CODE IS 3105 <br />✓� <br />���Y <br />City <br />City <br />y�yrz�1,l�'Z/ <br />StatelZip <br />State2ip <br />,�S'/.Y�J <br />Contract Pricc o� Work <br />Conlacl Person (Plan Review) <br />1 hereb}� cerlily fha( 1 have reaAand examined fhis np/�lication and kno�v the sarne to be true and <br />conecf. All provisions o/ latvs and ordinances governmg fhis 1}�pe o/ �vork �rill be cornpleted <br />�rohefhcr speci(ied he�ain or noL The gronling o( a perntd does nof resurne fo give authonty t� <br />violate or cancel fhe provisions oI any other sfale or local law reguPting consfruc6on or fhe <br />perlormanca o/construcfion. That 1 am aufhorized by fhe owner o( fhrs property fo peiform the <br />worh lor nhich apUlicafion is made and I comply �ti�ifh fhe Sfafe Confractors Lau• 18.27 RCW and <br />29G200 WAC. <br />Phone <br />Phone <br />dt�191,� <br />Phone <br />FEE <br />� �,�� >- ��`� <br />