Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERE'.T, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 -www.everetiwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> ,��' f <br /> i <br /> PROJECT ADDRESS <br /> OWner hlail Address Crty Slale/Zip Phone <br /> Tmianl Mail�dtlress Clly Slate/Zip Phene <br /> t; . �. � , � <br /> � � ) l y � <br /> [ludric�l Contractor Mail AAdress Cilv Slalo2ip Phone <br /> Slate License Numbr.r Contract Price of Work <br /> PropusaA Use ol Buildin� Contact Person (Plan Review) <br /> , <br /> I)oscrip�mn ol WorA�n[3e Dune� -- � � i ' � ; ,,, . , . I�� I� . � <br /> i___ <br /> ------- - --- <br /> NOT[ WIRING IN NON-DWEILINGS IS R[QUIRED TO FEE i <br /> DE IN RACc1NAYS, MC OR AC CABLE I <br /> ��� !� � I <br /> CITY OF EVERETT LOCAL SALES TAX COOE IS�705 <br /> I h�vubp r�vfdy lh�V I ho��r r��,-iJ unJ��aum�ni�J fhis npph��a6��n nnd Fnon�fhe sr�rne fo be Inie and �� <br /> � �rni�rf All pro�asi�ms ol la�ti�s nnJ orJm;m����s go�rrmny fhis fyP�'��l��'���ti ��'�II be cornplcfcA <br /> nlu�the�spredi��d h�wvn rn nol 7he yr;intni�o!e pormd dues rwt uesinne to give nuflroiity to <br /> i�inlad�or canccl fhe/novi.vans ol eny ofhei slafe or loc•nl law regu�nhnp conshuction or thc <br /> p,�rl�rtnr,mcr ol ronsfrucf����i Thaf 1 mn aulhonzed by fho ownei o!flus pr�periy to perlorm fhe <br /> a orh !or which.�pp6�.nfr�n is rn��dc end 1 cornply wdh fhr Sf�fe Confr�ctors Lew f8 27 RCW and <br /> 7Jf,200 W�C. � <br /> ��) , � <br /> Cc//�"L � <br /> ��� � Sipnx . ' Date i � . <br /> i �) <br /> � ��°. <br /> �, <br />