Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERI�IIT 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 - DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />! 5 z�f - s i �� p �_ sv�I <br />PROJECT ADDRESS <br />Ta m Diii`o 15�Z�-51 �T pl s}� �Ycrc�,i N,A- �K��o$ Nzy-34�+-�t�► <br />Owner Mail Address City State/Zip Phone <br />Tenant <br />Electrical Conlractor <br />AV��-A�.Iq�7ZY.� <br />State License Number <br />�m� <br />Proposed Use ot Building <br />Description of Work lo Be Done: <br />Mail Adtlress <br />Mail Address <br />IYLiA; <br />NOTE: WIRING IN NON-DWELLINGS IS REC�UIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />City <br />City <br />Slale2ip <br />State/Zip <br />Phone <br />3��.. <br />Phone <br />� 3000 <br />Contract Price of Work <br />r.n� �rc�n �F�-`123 � 5`�`i(�� <br />Contact Person (Plan Review) <br />I hereby certily that I have read and examined this applicafion a��d know the same to be true and <br />correct. All provisions of laws and ordinances governing this type of work will be completed <br />whether specified herein or noL The granting ol a permrt does not presume to give authonty to <br />violafe or cancel Ihe provisions oI any ofher state or local law reyulafing construction or fhe <br />peAormance ol construction. Thaf 1 am airthoiized by fhe owner o/ fh�s property to peAorm fhe <br />work /or which applicafion is made and I compty with fhe State Contractors Law 18.27 RCW and <br />296.200 WAC. <br />FEE <br />�o�oC�-i37 <br />