Laserfiche WebLink
ELECTRICAL PERMIT APPLICATIOIV <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 - DEBIT&CREDIT CARDS ARE NOT ACCEPTED <br /> 7/.> //U �� �'� � � <br /> PROJECTADDRESS <br /> ✓ tvr /� „ „ r('� c� r � �. <br /> Owner Mail Address Ciry State/Zip Phone <br /> Tenant Mail Aadress City State/Zip Phone <br /> ��(^1" ��n-IJ /�� Tj—f' /�,//� I( L/J !. <br /> [lectrical Cuniractur Mail Address Crt/ Slale2ip Phona <br /> Stale License Number Contraet Pnee of Work <br /> Proposed Use of Bmldin9 Conlar.t Person (Plan Review) <br /> � � <br /> DescripUon ol Wnrk to Be Done: �t !�' L' �J �ti l r / J Y_ <br /> NOT[: WIRING IN NON-DWELLINGS IS REOUIRED TO FEE <br /> B[ IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVER[TT LOCAL SALES TAX CODE IS J105 I <br /> 1 h��rebv rerUh; ;h,i( i hai e rerad anU�rxarnmed!h�s applicanon antl know fhe same to be true and <br /> I �;;necL Arl pr��aions al iaws�ina,vd,nances govemmg�his fype ol wark wdl be completad ^ <br /> wnether specihe�Y�ierein or noL The�ran6ng ot a permd dces nof presume to yrve authonty to —r / <br /> I vio�afe or cancel the prows�ons d any o(her srare or�ocai iaw.egulahng construction or the . ) <br /> peAormance or consVucpon 1'hat I am aufhonzed by fhe owner ol th�s propertV to Ue�form fhe ? <br /> work lur wluch applica6on is made ano I ccmply with Ihe Sfate Contractors Law iH�i RCW and �� > I <br /> 296.20U WAC. � <br /> i' I > I <br /> .`�!��%�_� 1���v6'- I <br /> � .iqgnature � � , <br /> I i <br /> I <br />