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 /> 500 <br /> PROJECT ADDRESS <br /> Owner Mail Address City State/Zip Phone <br /> Tenant MailA�l d ss dty State/Zip Phone <br /> MAI Uj'AI' CI ►� C <br /> 1W 31 jV11-- <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> OD <br /> State License Number Contract Price of Work <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Square Footage (If residential new construct <br /> ion, remodel or addition) <br /> Description of Work to Be Done: <br /> �6 <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. 00 <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby certify that 1 have read and examined this application and know the same to be true and <br /> correct. All provisions of laws and ordinances governing this type of work will be completed <br /> whether specified herein or not. The granting of a permit does not presume to give authority to _ L/ <br /> violate or cancel the provisions of any other state or local law regulating construction or the I <br /> performance of construction. That I am authorized by the owner of this roperty to perform the <br /> work for which application is made and I comply with the State Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> sit <br /> Signature Date <br />