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 FRON� 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />iD/� T�� � le �� , �✓e <br />PROJECT ADDRES 3 39-g�- �4� <br />I�D UT �'Ylitu,2 /' I u l% � II a�u ���D C'_M Pl�e D� �v-� �`�Sao,.,L <br />Owner Mail Address Ciry SWte2ip Phone <br />Tenant <br />� � <br />Electrical <br />State License Number <br />Mail Adore: <br />Mail Address <br />S..(/1'v�C �Q���.v V/ Y �t=-2 � <br />Propos Use of Building <br />Description of Work lo Be Done: <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN R4CEWAYS, MC OR AC CABLE. <br />CITY OF EyERETT LOCAL SALES TAX CODE IS 3105 <br />Ciry <br />City <br />Elate2ip <br />SWIe2Ip <br />ConVact Price of Work <br />Contact Person (Plan Review) <br />1 hereby ceRily that I have read and examined this application and know the same to be tnre and <br />correct. All provi;ions �l/aws and ordinances govemmg th�s rypa of work wi/l be compieted <br />whether spec-fied herem or not The granting of a permd does notp resume !o give authoniy ;c <br />violafe or can;el the provisions o/ any ofher slate or local law reguleting construction orlhe <br />peAormance ol const�uchon. That I am authonzed by the owner o( this propeRy to pedorm the <br />work Ior which application is made and I comply with��. State Contracfors Law 18.27 RCW and <br />296.200 WAC. ,-.� / l <br />FEE <br />Phone <br />Phone <br />�Gv L%%-�l <br />