Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 6 AM TO 4 PM <br />�J��� /Z�: �7Ir's'�/��� /'7iC.�. <br />� <br />PROJECT ADDRESS <br />Owner <br />Tenant <br />s,:� � � <br />Mail Address <br />Mail Address <br />�a, /�f�_ �,��,-z�l��u_ ;�� � <br />City <br />City <br />SlatelZip <br />SlalelZip <br />Phone <br />Phone <br />yi„�f�l / T_ 1:�, /�,�y � s �/.o��:�s /l� i.���� ..r'�: ;so <br />Electrical Contraclor Maii nddress Ciry Staie/Zip Fhone <br />/"�i��ii��iC° (/ ��'� �s'C �,�1� � <br />State License Number ContraIct Pnce of Work <br />�f'iJil 3 <br />Proposed Use of Building <br />Square Footage Qf residential new construction, remodel or addilion) <br />Descnption of Wark to Be Done: ��[b l'�"�^ <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 />� 1 hoieby certily fhat I have read and c <br />correct. All provisions ol laws and or <br />whefher specilied herein or not. fio <br />violate or cancel (ho provisions ol an, <br />peAomiance o/ constn�cfion. That I d <br />work for which application is made ai <br />296.200 WAC. / <br />lc%� <br />Contact Person (Plan Review) <br />FEE <br />75��' <br />fhis application and know fhe samo fo bo trve and � I�O� ' h('' � <br />govemmg this type o/ work will be completod (� <br />ol a pemuf does not resume to give aufhonty ro <br />afe or loca! law reguPfing constnic(ion or Ihe <br />izod by the owno� oI th�s property to perlorm the <br />ry with fhe Stafe Contracfors La�v 7817 RCW and <br />