Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETf, WA 98201 3—I Cl �/ 2- <br />425-257-8810 - FAX 425-257-8857 – www.everettwa.org �� ���b' <br />APPLICATIONS ARE AGCEPTED FROM 8 AM TO 4 PM <br />���� � J ! �h S� � �� <br />PRQJECT ADDRESS <br />Owner <br />Tenant <br />u <br />Eleclrical Contractor <br />3���- .-5����'St' <br />Mail Addmss <br />Mail Address <br />�dail Address <br />��., <br />l�c `, 7 T� (� <br />State License Number <br />iJ�� � F�i��� <br />Propose,i Use o( Building <br />Descriplion of Work to Be Done: <br />Ciry <br />City <br />City <br />StatelZip <br />StatelZip <br />StatelZip <br />Conlracl Price of Work <br />��- 34 S-- <br />`J � 7 �3 <br />Phone <br />Phone <br />�� <br />Phone <br />Contact Person (Plan Review) <br />� <br />NOTE: WIRINC� IN NON-DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE. �� GO <br />^' "� OF EYERETT LOCAL SALES TAX CODE IS 3105 <br />eby ce�tily that 1 have read and examined this application and know the sarne fo be true and � I� zj — � �� <br />r,c r-ect AIf provisions ol laws and ordinances �oveming this type oI work will be completed <br />w iafher spealied herein or noL The granting o/ a pennd does not presume (o give authority to <br />vr,late or cancel fhe provisions ol any other sfafe or local law regulaling construction or the <br />per;onnancc o( consfruction. That 1 am autherized by Ihe owner o/this property fo perform the <br />work lor which applicatic� is made and I compty with the Sfafe Contrar.tors Law 18.27 RCW and <br />29G.200 WAC. �. <br />