Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-881G - FAX425-257-8857 —www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> c��0 /s� �� � C��s� <br /> PROJECT ADDRESS <br /> � <br /> / I <br /> 0+'�n f�S7rn�� �>?z�.S <br /> Owner MailAdtlress Ci�y State2ip Phone <br /> Tenant Mail Address City StalelZip Phone <br /> c�� ��P�- �.�i ��s� ,� �. S�„���� ��A <br /> Electrical Contractor Mail Address City Stale/?ip Phone <br /> �I�; ,�-�-�U�%� % ���� � <br /> Slate License Number Contracl Price o(1^�ork <br /> � �_ <br /> _SP�J��L 'P� <br /> Proposed Use of Building Contact Person (Plan Review) <br /> .�- <br /> Square Foolage Qf residential new conslruction, remodel or adtli�ion) <br /> � Description ol Work to�e Done: ���J < < � ��� � �� / �� C�% �G/t <br /> I �� <br /> NOTE: WIRING IN NO'J-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWi,YS, MC OR AC CABLE. �J�� <br /> / <br /> �. CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I1 hereby cerii/y Ihat I have read and ezamined Ihis application and know(he snn;e(o De trt�e and I ^'� ,-�� <br /> conect All provisions ollaws and ordinances goveming this(ype ol�vork�vill be completed � �j Q� ' I ( C–. <br /> �vhetherspecdied herein arnoL The gran(ing ola pernnt does not presume fo give aulhonty to <br /> violate orcaqceYthe,provision�ol any o(hers(ale orlocalla�v regula6ng construclion or the <br /> perlonnan�o(consl ction. That I am authonzed by Ihe owner o(fh�s properiy(o pedomi(he <br />` u-orR lor��hich applic tion i�iade and 1 com �vif Ihe State Confrac(ors La�v 18.27 RCW and <br /> 296200 AC. L l <br /> < < � � ��� --�D/3 <br /> S�gnalure Daie <br /> I .. . _ . . . . . _ -__ _—_—__--__.�_.____-- — --- <br />