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 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM L 0795`4 b7 <br />PROJECT ADDRESS <br />42 s ? sc- <br />,1fJ�i K.fryj4; 6J ��(23 3R� �- �ti, F>t�� c (U�k%1220'; So <br />Owner Mall Address City State/Zip Phone <br />Tenant Mail Address City State/Zip Phone <br />Electrical Contractor Mail Address City Slate/Zip Phone <br />State License Number Contract Price of Work <br />Proposed Use of Building Contact Person (Plan Review) <br />Description of Work to Be Done: Z <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO FEE 1 <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1hereby certify that 1 have rend and examined this application and Wrow fho same fo be free and <br />comrcf. All provlsforrs of taws and ordinances goveming fhls type of work will be completed <br />whether sped d herein or not. The granting of a permit t1ledoes not ppresume to glue augtonty fo <br />violate or cancel the provisions of any offter state or Iota! taw regulafing construction or the <br />work for whfch applictelion is made and 1 con pfy i�fby <br />ftt State Contim rrsspLaW 18 27 RCtNand <br />296.200 WAC. <br />' -� /3-o Zo 0 <br />Signature, Date <br />