Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, W,4 98201 a 3�C"� <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org � " �� <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM ���� `I' S <br />. � <br />��'C� �� 51�.'V �.0 f L--/��ti � <br />PROJECT ADDRESS <br />Icl-f�,%.ti� � ��:,vu�rrl � S�-i,� �.�..-2� lC�� ��.� c� � <br />Owner M11ail Address Cily Slate2ip Phone <br />Tenant <br />i J - �' <br />Eleclrical Contracbr <br />Stale License Nmnbcr <br />Proposed Usc ol Oui�din� <br />Doscriptian of Work !o Be Done: <br />i l /< < �L: __� <br />Mail Address <br />hlail Addre<s <br />Ciry <br />City <br />Slale/Zip <br />Stali�Zip <br />Contracl Pric� ot Work <br />Contacl Person (Plan Review) <br />�L',�!- _r i"��'�::' _� �i�`�i-�,� c �"L�,-c.c <br />NOTE: WIRING IN NON•DWELLINGS IS REQUIRED TO <br />6E IN RACEWAYS, MC OR AC CADLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hc�eby certily fhnf I have reaA and examineA fhis applicafion and pno�r the same to be frue and <br />conecf. All provisions ol la�vs and ofdinances c�o��emmg fhis lype oI �voik will be complefed <br />�vhether speciued he�ein ar noL The c�rantinc� ol a pernut does nol presume to give aufhonty lo <br />violafe or cancel the `�rovisions o/an}� olher state orlocal law regulating consf�ucfion or fhe <br />pedormance of construcfion. That I am aufhonzed b}- the o�vner ol fh�s property fo pedomi the <br />work for which applica(ion is made and 1 comply wi(h the State Confrac(ors La�v 18.27 RCW and <br />29G.200 VVAC. <br />1 <br />`_ � .ti,� l <br />.'-�,�- `,�' <br />FEE <br />Phonc <br />Phone <br />- •- i -� G -�, <br />�� / <br />,,�;� _�� � <br />