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 8 AM TO 4 PM <br />�9.j 3 4�''� s-r s W <br />PROJECT ADDRESS <br />C(-�UC� SE�DEIZ !l42 2"—`� �'"i M� KIL'7'FT u;A �JRZ�S 42r 397 7(9B <br />OWner Mail Address City State/Zip Phone <br />Electricat Conlraclor <br />Stale License Number <br />Mail Address <br />Mail Address <br />5)1�1G1 E F.�rtttY Rc=.siDFuc <br />Proposed Use of Building <br />Cily <br />Cily <br />State/Zip <br />Slale/Zip <br />Contrect Price o( Work <br />Contact Person (Plan Review) <br />Phone <br />Phone <br />Description a( Work lo �e Done: j P M Pc RA kY F-'1 E r TR i e SF2t�i eE FoQ a n sY� ue7[aA( <br />rtF RE�S�'n N F <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 3105 <br />I hereby certify thal 1 have read and examined this application and know the same to be frue and � <br />correcL All p�ovisions ol la�vs and ordinances govoming this lype o( work will 6e completed �C�'�( (� �–�j ( I <br />whether spec�fied herein or noL The g�anting o/ a porrnd does not resume to give authonty to � <br />violate or cancel the �rovisions o/ any other state or local law reguPting consfrucfion or the <br />per(omiance ol construcfion. Thof I arn authorized by the o�vner ol this property to per/orm fhe <br />work !or which application is m��de and 1 cornply wifh the Sfate Conf�actors Law 18.27 RC W and <br />296.200 INAC. <br />r <br />