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 />4PPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />�, �� .. � Y, . ' . <br />PROJECT ADDRESS <br />( �i. � _ �r <br />Owner Mail Address <br />,l� -, <br />Tenarl <br />Electrical CoNraclor <br />�tala Licenso Number <br />Proposed Use of Buildin� <br />Mail Address <br />M11ail Address <br />� . ,'� . .' _ .. <br />�, ' 1'' <br />City <br />City <br />Descriplion of Work lo Do Dono� - �+'' ' � �"•+ � �, ���-� <br />,/ <br />�l :�- , <br />NOT[: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />B[ IN RACEWAYS, MC OR AC CABLE. <br />i , �i �! J �_> <br />Slale2i� <br />Slate/Zip <br />��.% ....;.K, i <br />Phone <br />Phono <br />Cily Stafe2ip Phene <br />Conlract Price of Work <br />Conlacl Person (Plan Roview) <br />�,{,. � !� ,- ��f ,�) �.,, , � � � � _; , <br />� , <br />CITY OF EV[RETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certify fhaf l liave read and ea�amined (his applicafion and know lho same to be lruo and <br />correcf. All provisfons o( latvs and ordinances govenung (his (}�po of a•ork will6e completed <br />n�hetl�er specilied herein or noL Tfre c��anting ol a permd does net �resurne to give aulhorrty to <br />viola(eorcancelU�e provisianso(anyo�hers(afeerlocallmvmr�u��tingconstruclionortho <br />perfonnanco o(construction. Tlmt 1 am aufhorized Gy Ihe o�t�ner ol this praperty fo perfonn the <br />r.ork lor �vf�ich application is made and 1 compl}� wifh the Stafe Centracfors Law fU.27 RCW and <br />29G.200 WAC. <br />I , ___ �; ', �� � <br />, <br />;. , � <br />FEE <br />L <br />ri005�D�( <br />