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 <br />;� <br />_ , � <br />i • � i ,�' .. ��� <br />PROJECT ADDRESS <br />' �' '_ <br />Owner <br />Tenant <br />�` `'�l L! <br />Mail Address <br />Mail Address <br />� , _ . <br />, � ' !/% �.'� %% <br />i!� <br />City <br />Cily <br />;. <br />� -��- (: <br />Slale/Zip <br />,.�:�� �l/7 � <br />Phone <br />Stale/Zip Phone <br />��� i�� �� <br />EleClfiCal ConlfaClor ` Mail Address City State2ip Phone <br />Slale License Number <br />;�.�_r <br />Proposed Use af Building <br />Descnp�ion of Work l0 6e Done: � <br />NOTL: WIRING IN NON-DWELLINGS IS RE(]UIRED TO <br />BE IN RACEWAYS. MC OR AC CADLE. <br />Conlracl Prico of Work <br />Conlacl Person (Plan Review) <br />CITY OF EVERETT LOCAI SALES TAX CODE IS 3105 <br />I hereby certily thaf I have read and examined fhis application nnd know fhe samo fo be Wo and <br />cerrecL AN p�avisiars o/la�vs and ordinances govemutc� fhis fype ol work will be completed <br />�rhefher specJ�ed herein or noL The granting ol a pennd does nof pmsume fo givo aufhonty fo <br />�-iola(e or cancel the proeisions ol any othersfafe erlocal /a�r regulafing construction er the <br />per{ormance o/ construcfion. Thaf 1 am authorized by U�e on ner o/ Ihis property fo perlorm fhe <br />u�ork lor which application is ntade and 1 comply �vifh Ihe Sfate Ca�tractors Laiv 18.27 RGIN and <br />296200 WAC. <br />i _ -� <br />� �.� c ��1, <br />� .I �--" �� �— - - �C " �-. J / (:. <br />fEE <br />/ � � <br />