Laserfiche WebLink
ELECTRICAL PERMIT APPLIC�TION <br />CITY OF EVERETT PERMIT SERVICES �S-Iz <br />3200 CEDAR STREET, EVERETT, WA 98201 I�%'- / <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org C � Z�D`�(�i <br />APPLIC,4TIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />�Ill j��l,.t;�„�;� AL���' <br />PROJECT ADDRESS <br />Tenanl <br />Electrical Contraclor <br />`; '_ � = 1 r "1 `�C`a ti� <br />late License Number <br />Proposed Use o( Buildin� <br />;1�i, � <br />A1ail Address <br />Mail Address <br />P � i'�, a <br />, <br />�1ail Address <br />City <br />Cily <br />Cit�• <br />Stale/Zip <br />State/Zip <br />Stalc2ip <br />1D <br />��r;� <br />Conhact Price of Work <br />% �/1S o15 3.5� <br />Phone <br />Phonc <br />36u ���0��5 <br />Conlacl Person (Plan Review) <br />1 � , � p <br />Oescription o' Work lo De Dona t 1� C' n �� ��l� �� ��� � ��� Y� <br />i <br />NOTC: WIRING IN NON-D�VELLINGS IS REQUIRED TO <br />BE IN RAC6WAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAI SALES TAX CODE IS 3105 <br />y certify fh�t I have read and ea�nmined this ap��licalion and kno�v fhe sante W be frue and <br />All prov�sicns o/laws and ordinances gorennng fhis t}�pe of �vork will be complefed <br />r speafieAherern or noL The ,ranfing o/ a Permrt does noll�resume fo give authomy to <br />or �ancel the �rovisions o/ any other sfafe or local ln�v regu nCng construcfion cr the <br />iance o/cons�rucfion. Thaf 1 am aulhorized by the mrner oI fhis property to pedorm the <br />r�rhich application is nmde and I compl}� �rifb fhe Stafe Conhactors Larv 18.27 RCV.� and <br />� 7� <br />�'�% / <br />FEE <br />� <br />��al� _ u�'�� <br />