Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETf, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />r � <br />_�• ��; (�� �� �� ���ii `. � � <br />PROJECTADDRESS '� <br />OWOef <br />Tenanl <br />.:-�t,l0��i:`�l �-i�i-- <br />Mail Address <br />Mail Addross <br />C-leclrical Contractor Mail nddress <br />State License Number <br />Proposed Usc o( Buildinp <br />Cily <br />Cily <br />SlalelZip Phone <br />�i?-�� ��i3-cn9a-7 <br />State/Zip <br />State/Zip <br />Contracl Price of Work <br />Conlacl Person (Plan Review� <br />Doscnplion of Work lo �e Donc: �' 1�{�U C{.i�:� jV'���� �'� � A f! l��-j �1rL�L1�G(� 1� �'� l� �f <br />NOl'E WIRING LV NON-DINELLINGS IS REQUIRED TO <br />CiE IN RACE�VAYS, MC OR AC CAGLE. <br />CITY OF EVERETT LOCAL SA� ES TAX CODE IS 3105 <br />I herec y ceriily U�af 1 ha��e read and examined fhis applicafion mid know the sarne to be Vue and <br />co�rec:. All pruvisions ollaws and ordinances go��enuna flus fype ol worh u�i116e completed <br />��heCer spec��ed herein or noL The granting o(a permrt does nof preswne to give authonry to <br />viol�ie or cancc-I the provisions ol any ofher stafe or local law regulating construction or fhe <br />pertorm�nce o/ construction. That 1 am aulhonzed by fhe owner o( this pronerty to perforn fhe <br />❑ ork ror which applicafion is m�de and � cornply nifh fhe State Contiacfors La�t� 18.27 RCN' and <br />29G.200 WAC. <br />r'%; . /:'I�. <br />�( T� -�� C;- <br />FEE <br />r ��, i 0 0;.�5 <br />Phone <br />Phone <br />