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,�vw.everethva.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />S/2 / ��z � �� ��t' �iP✓r � ��//; ��.2�7 <br />PROJECT ADDRESS <br />�c �i Kti�Kc'� s�m. �/lt���``3��`� <br />Owner � 1.9ai1 Address City StatelZip Phone <br />Tenant <br />Gleclrical Contractor <br />Stale License Numbcr <br />Proposed Use of �uildinc� <br />Description o( Work lo Be Dune: <br />��dFlil Addiers <br />hfad Addiess <br />NOT6: WIRING IIJ NON-DWELLINGS IS R[�UIRED TO <br />D[ IN RACEWAI'S, h4C OR AC CACiLE <br />CITY OF EVERETT LOCAL SALES TAX CODE IS J105 <br />Glc <br />Cdy <br />Sla�e�Zip <br />State/Zip <br />Phonr. <br />Phone <br />Conlract Price ot Work <br />Contact Person (Plan Review) <br />I heieUy certily fhuf I hr�ve read 1�nd ex�mined this apphcation and Ano�v fhe sarne t� be h'ue anA <br />conecl. All �.�iawsions ollaws anAorAinances go��erning fhis fype o/ n�erk �ti�ill be complefed <br />whethcr spc„i`ieA herein or noL The grmifing o( a pemnf does noI xesume to gire authority to <br />vio/afe or cancel Ihe provisions ol nny ofher statc or local law regulafing construdion or fhe <br />perfonnm�ce o! construc(�on. Thaf 1 am aidhoiized b}� Ihe owner o( fhis propeMy fo perfomt !he <br />work lor which applicatinn is made anA1 comply n�ilh Bte Sfafe Confr�cfors La�v 18.27 FCW and <br />29G.200 N'AC. <br />FEE <br />� <br />i• <br />� > . <br />� .' " " . <br />