Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, FVERETT, WA 98201 <br />425-257-Sa10 - FAX 425-257-8857 — www.everettwa.org <br />, <br />r � <br />� � w� J C� <br />PROJECT ADDRESS <br />���� r! <br />Owner <br />Tenanl <br />�: �:�,�� �•r <br />Eledrical Contraclor <br />Slate License Number <br />Proposed Use of Building <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />/ yI M � � � �, <br />�iC C t� �'i r'1 '1 ''�'F �^I t'�i'C ��lL.i'�.�Cc:.� CitT <br />� <br />rii��/? ��L'� <br />lviail Address <br />Mail Address <br />Mail Address <br />� ��, <br />Clty <br />City <br />Cily <br />Description of Work to �e Done: il �� (�� i N 9-' �� r <br />J <br />,:��,;r�' �� `�rti�flrs�� ��e�c;� <br />, <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIftED TO <br />BE IN RACEWAYS, MC OR AC CA�LE. <br />(W� I��CJi 9,� ,sr ir 7 <br />Slate2lp Phone <br />Stale/Zip Phone <br />Sfale/Zip <br />Phone <br />�/OC� <br />Conlracl Price of Work <br />Conlact Person (Plan Review) <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />! hereby cmiily Ihaf I ha��e rean and examined fhis applicafion and knew the same to be true and <br />correct All p�avisions of la�vs and ordinances govemin� this fypo o( work will be compleled <br />irhefher speafied herein or noL The �ranlin� of a pernut does nofp resume to gi��e authonty W <br />�;nlate or cancel fhe provisions ol any ofher sfafe orlacallaw re�ulafing consfniclion orlhe <br />perfomiance oI construchon. That 1 am aufhorized b}� Ilie o�rner ollhis property fo perform fhe <br />woik lor which application is made and 1 cornply �vith the Sfate Confracfors Law 18.27 RCW and <br />296.7�00 WAC. � <br />� � ��' � (����� � �� ��111 <br />FEE <br />�IIDj_ � rT� <br />