Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br /> CITY QF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVEREl'1', WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTtD FROM 8 AM TO 4 PM -DEBIT&CREDIT CARDS ARE NOT ACCEPTED <br /> s� � � ������J �rJ�-`� Sv �-i� 1� <br /> PROJECT ADDRESS <br /> OWnef Mail Address City Slafe2ip Phone <br /> s� �,��y s�-,�,� �-� �Y� <br /> Tenant Mau nddress ciry Staterzip Phone <br /> h��`� ��..�L�Z�C. t ► o o M�RR►u. G►� �Ky �v�� l�fi" <br /> Electrical Contractor Mail Address City Slate2ip Phone <br /> 1/Au.�C.1<1-� r.l�- �' 3�- <br /> Slate License Number Contracl Price of Work <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description oF Work to Be Done: '' " 5 TA�LL ` �� �j�g-' z r7� y � � <br /> C! RC V lT <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY Of EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby certrfy fhat I have read and examined fhis application and know fhe same to be true and <br /> correcL All provisions of laws and ordinances goveming this type ol work will be complafed <br /> whetherspeci�ed herein or not. The granting o(a permd does notp resume to give authonry fo <br /> violate or cancel the provisions of any other stafe or local law regulating construction or lhe <br /> peAormance of construcfion. That I am aufhorized 6y fhe owner o(this properfy to perfurm the <br /> work/or which application is made and I comply with fhe Stafe Confractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> �-; � 7 <br /> ���' � �_ y , a q= <br /> Signature Oate <br /> EO�IG�-Cy 7 <br />