Laserfiche WebLink
ELECTRICAL PERMIT APPLICAI�ION <br />CITY OF EVERETT PERMIT SER�/ICES <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 />-/,���� .) ����1� ��^ W <br />pROJcCT ADDRESS <br />_ <br />)Cc �r � l l �; �s,�� <br />Ovmer <br />Tenanl <br />� II �V,�,t �`= I�L f� L <br />Elecirical Contraclor <br />�. <br />fdail Address <br />Mail Address <br />� �7.1�^ il <br />Mail Address <br />l�i I� I'J r l+% ��.� l�' S <br />S a�e License Numbar <br />��� i� 't - <br />Proposed Use of Building <br />Square Foolage (If residenlial new cons�ruclion, remodel or addition) <br />Description of Work to Be Dane: <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 />1 hereby certily fl�at I have read and examined (his applic <br />�o�;o�t. All p(ovisions o(/aws and ordinances goveming <br />r�he(herspca�ed herein ornoL The granGnq ola pennd <br />pe lom ance�o(cens(iu�finror�That I�em�aufho�nzed by lh� <br />r�ork (or �vhicli application is mafie and I compty �rifli thc <br />296.200 Vl�AC. , ! , � ,� <br />�� j � ,r / . <br />City <br />�I ZS - 3�I�6 ` <br />;c� I�{ cl �? n. Z <br />StatelZip Phone <br />City SlatelZip Phone <br />�e�s u��l �%�Z3;2 � 9�52� <br />�i�Y SlalelZip Phone <br />� /�� // l -� — <br />� �6 <br />Conhact Price of Work <br />and kno�v fhe s <br />ype ol ivoik �:ill <br />notp resume tc <br />�egulating wnst <br />erollhis propei <br />Cantrac(ors La <br />�_, �,_ <br />Conizct Person (Plan Reviev�) <br />FEE <br />. to be true and � 2_L�,� ' J(� <br />completed <br />ie authonty fo <br />fion or fhe <br />o peAonn the <br />8.27 RCW and <br />z <br />