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 />� �C� ���- y�. <br />PROJECT ADDRESS <br />Owner <br />Tenanl <br />G��Z� t�- <br />Electrical Contractor <br />Mail Addres' <br />Mail Address <br />Mail Address <br />L�a�LLGL�i�� d�,v <br />State License Number <br />//�G�L7)�� `�i � ( <br />Proposed Use oF Building <br />c�G �U D <br />Square Foolage (If rP�idential new conslruction, remodel or addition) <br />Description of Work lo Be Done: <br />NOTE: BFR�NRAC WAYS MC R AC CAB �UIRED TO <br />ifs7dr <br />�—�,-fi� lc� 1 <br />City StatelZip <br />City StatelZip <br />City <br />L� <br />State2ip <br />I ( -� 13_/Z <br />� 1zl i —OA� <br />Y/�J� � <br />Contract Price of Work <br />s <br />Conlact Person (Plan Revievi) <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certi(y that 1 have read and axamined fhis applicafion ane o( �ork �vill be completed and <br />conecf. All prowsrons o/laws and ordinances govemnig fhis fyp <br />�vhefher specdied herein or noL The granting ol a pemut does not presume to give autho�ity fo <br />violate or cancel ihe provrsions o/ any ofher stale or local law regula6ng construchon or fh� <br />pafonnance o(wnslruclion. That I arn aufhonzed by the ownero/this� roperty to perlomi fhe <br />�vork lor which applicahon is made and 1 compty wdh fhe Stafe Contracfo�s Law 18.27 RCW and <br />296.200 WAC. �� <br />�� <br />FEE <br />Ph� <br />Phone <br />Phon: <br />�iZll'Ui) <br />