Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEOAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-6857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />��i <br />1 >c� !��,� �J����,���_ 5 � � -+�, �-_/,�.,� <br />PROJECT ADDRESS <br />o,Y��� <br />Tenanl <br />Lin�l Addiess <br />ldail Addrass <br />Conlraclor A1ail Address <br />� <br />City <br />3� <br />Cily <br />I��r�N�e 1q.�7L--Q _ <br />Slale License Number <br />Proposed Use o( Building <br />Descnption of Work to �e Done: <br />.z <br />NOTE: W IRING IN NON-DW ELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />s�,:� z��, <br />Slale/Zip <br />Phone <br />Phone <br />" Slaie/Zip Phone <br />y 9,, �-�,C� <br />Contract Price of Work <br />Conlact Person (Plan Review) <br />`�N r�-�. � 6 -�_c � <br />FEE <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certily fhaf 1 have read and ezamined this application and kno�. fhe sarne fo 6e true and <br />correcf. All provisions o( la�vs and or�finances got�emmg (his 1}-po e! �tivrk �rill be complefed � C�� �, ; L, e� <br />u�hefher specdied herein or not. Th� granting ol a pemut does nof �resurne ;o give aufhonfy fo �- �, <br />violafe er cancel the pro��isiens olmry ofher sfafe or local la�r regulefing consVuchon or the <br />perfornrance oI conswcbrni. Thnf 1 nm authorized b}- Ihe o�rner ol fhis property to perfonn fhe <br />�rork !or �vhich applicafion is rnade and 1 comply rrith the Sf�!e Cenhactors Lc��r 78.27 RCIh' and <br />:9G.200lNAC. , . <br />3� ly—�'Y> <br />