Laserfiche WebLink
ELECTRI�AL P�RMIT 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 />�2bo N �� � r��J fl- <br />PROJECT ADDRESS � <br />� -as�� <br />C—��o6-�� <br />:T I,�_ (�AS �,: iwT 3 l� o C"�aci�r P,� ��GM �F !�A 9,��OB �3��.� 06�f5_ <br />Owner Mail Address Ciry Slale/Zip Phone <br />Tenant <br />Mail Address <br />Cily <br />Slale2ip <br />Phone <br />TC E�on-����c �il�� l'ti�'�Pr �l� �v�;���{ /JR �P1o8 3S3-D64� <br />Electrical Conlractor hlail Address City Slale/Zip Phone <br />,��� �6%��n� <br />State License Number <br />� % ('G�til 1-lr u h v <br />Proposed Use of Building <br />Doscriplion af Work lo Be Done: <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR P.0 CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />Conlrect Price of Work <br />Conlact Person (Plan Review) <br />1 hereby ceitify that I have read and examined ihis applicafion and know the sarne to be tr'ue nnd <br />correcl. All provisions of laws and ordinances c�oveming this type o( work wi116e completeo <br />whether specified herein or nof. The granting of a pernuf does not resume to give aufhonfy fo <br />violate or cancel the provisions of any other state or local law reguPfing constniclion or fhe <br />perlormance o(cons(rucfion. That I am authonzed by fhe owner o(this property to perform the <br />�vork for �vhich application is rnade and I comply �vifh the Stafe Contractors Law 18.27 RCW and <br />29& 200 WAC. <br />G-?5- <br />FEE <br />� ( DU(o - I y-U <br />