Laserfiche WebLink
ELECTRICA� PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — wwv��.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 0 AM TO 4 PM <br />� D �����' �'���� il'1f�CCe !�.I �C_ ') 11(' ��'���i��_r,+�i <br />PROJECT ADDRESS <br />Tenant <br />Eledrical CoMractor <br />Stale License Number <br />."�� �� <br />Proposed Use of Building <br />l;��i�_c <br />Pdail Address <br />�1ail Addmss <br />Matl Address <br />�?�� � <br />Square Footag^ (;( residential new conslruclion, remodel or addition) <br />Description of Wark to Be Done: Y �L l�� �� ��� <br />����1'n�'�1` ( rl�( n-�� � <br />NOTE: WIRING IN NON-DW[LLINGS IS R[QUIRED TO <br />BC IN RACEWAYS, MC OR AC CABLE . <br />CITY OF EVERETT LOCAL SALFS TAX CO�E IS 3105 <br />City <br />c��y <br />Cily <br />- ����v� �I���a�l�-�1�31n <br />StatelZip Phone <br />StatelZip Phons <br />Slate/Zip <br />Conlrad Price o( Work <br />Phone <br />Conlact Person (Plan Reviev+) <br />! hereby certily (hat I ltave read and eMamined fhis applicofion and hno�v fhe same lo be lme and <br />correcL All pro�isions ollaws and ord�nances govemmg Ihis type ol work u�ill6e comple(ed <br />v;He(herspecJied herein ornof. 7he granting of a pemut does not rosume to give aulhority to <br />viola(e orcancel the provisions o/any olhersfate orlocalla�v reguPting construclion or fhe <br />pedonnance o/construction. Thaf 1 am authonzed by !he o��✓nera/this ropeRy to pe�`onn Ihe <br />r. ork (or �vhich applicafion is made and 1 cornply �ailh (he State Con(racPrs Law 18.7.7 ftCW and <br />29G.200 WAC. <br />} <br />FEE <br />�ia�a - �ti� <br />