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 — v�nvw.everettwa.org <br />APPLICATIONS ARE ACi:EPTED FROM 8 AM TO 4 PM <br />� p <br />����L_ ��0�(f�'i> �/�1,��- ���'i�c�`�S �J Id�'<`� <br />PROJECT ADDRESS <br />�. � _ <br />J <br />1 C �'� 1��_� C,,��f>��' ir Sg�S (s �lU� %� <br />Otvner I.1ail Addicss Ciry <br />Tenant �dail AdAicss Ci1y <br />Eleclrical Conlractor Mail Address City <br />�,� �t PL� <br />Slale License Numbcr <br />Proposed Use of Ciuilding <br />_ � <br />Description o( Work lo Be Done: I'�����" `!� ��� 1—%�-� •� <br />��C'F<'%�/ ZC� � 4�'i� 3 <br />State2ip <br />State/Zip <br />SlatclZip <br />Conlract Pricc o( Work <br />Contact Person (Plan Revicw) <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS :105 <br />I hereby cert;ly fhaf ; 1�m e rcad and ezamined this application and know fhe same :o be frue and <br />con�ecf. All provisions ul la�vs nnd ordinana�s governmg lhis type ot work n�ill be compiefad <br />irhether specilied hercin or not The granfin� of a pernut does not resume to give aufharity fo <br />violafe or cancel the provisions ol any ofher state orlocal la�v reguPfirtg construcfion or the <br />pedormanc o( consf�uclion. That 1 am authorized by the o�vner o! tl�is property to perlonn the <br />work lor wh�h applicafio�is iade and 1 comply with the Stale Contracfors Law 18.27 RCW and <br />296200 WAC. ' <br />r <br />�� I <br />, <br />; ���� . �L <br />Ir�/�' S / l �' �, <br />gnawre - ue�e � <br />� � 1 ��� "I 7l <br />Pt�on� <br />Phone <br />Phone <br />