Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERNi;T 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 />PROJECT ADDRESS Z�� <br />61) el IQ Ld�ie7 — 'T200 Cam, Sr L"w�1 �` 4011 98_z o/ <br />Owner Mail Address City State/Zip Phone <br />Tenant Mail Address city State/Zip Phone <br />Electrical Contractor Mail Address City State/Zip Phone <br />State License Number <br />Proposed Use of Building <br />Description of Work to Be Done: <br />r-� <br />X irlcc - <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS. MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certify that I have read and examined this <br />correct. All provisions of laws and ordinances gov, <br />whether specified herein or not. The granting of a <br />violate or cancel the previsions of any other state c <br />performance of construction. That I am authorized <br />work for which application is made and I comply wi <br />296.200 WAC. <br />JD, <br />Contract Price of Work <br />Contact Person (Plan Review) <br />FEE <br />>' pia l Ily <br />low the same to be true and lJ <br />work will be completed <br />esume to aive authority to <br />and <br />