Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES a 3-os <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org C 0s0 <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />`l73-/ �2 7'(//Ve <br />PROJECT ADDRESS <br />1. C''1 <i� l/` c•: c..t ) �A�t(% 1, L: J%i:, c,c :�fCr' (/c7 L_t GI ,�'(/C•=!5 ��ct �Cld-t= G 3`}'GFj 13 <br />Owner Mail Address City State/Zip Phone <br />Tenant // Mail Address City State/Zip Phone <br />1iu vr-�t"e'✓ �[if/'rrc 5ra'( 1'� rlO. SE e� � ( Jn i2 '2'In -330- <br />Electrical Contractor Mail Address City State/Zip Phone <br />State License Number Contract Price of Work <br />Proposed Use of Building <br />Description of Work to Be Done: <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO <br />BE iN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />Contact Person (Plan Review) <br />I hereby certify that / have read and examined this application and know the same to be true and <br />correct. All provisions of jaws and ordinances governing this type of work will be completed <br />whether specified herein or not. The granting of a permit does not presume to give authority to <br />violate or cancel the provisions of any other state or local law regulating construction or the <br />performance of construction. That / am authorized by the owner of this property to perform the <br />work for which application is made and I compry with the State Contractors Law 18.27 RCW and <br />FEE <br />296.200 WAC. <br />Ile <br />�SlgnftlOre I Date <br />