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 /> N <br /> nn� I 1 '7 <br /> Carina 1w4( (DZ <br /> PROJECT ADDRESS <br /> • <br /> A <br /> Owner Mail Address City State/Zip Phone <br /> -goe ; <br /> Tenant - Mail Address City State/Zip Phone <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> lq , 00r; <br /> State License Number Contract Price of Work <br /> Proposed Use of Buildin Contact Person (Plan Review) <br /> Square Footage (If residential new construction, remodel or addition) • <br /> Description of Work to Be Done: I 1_;,; 3,, 1-tS b e,k w f �-- <br /> C6(4t <br /> 4i.s <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> 35 <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby certify that 1 have read and examined this application and know the same to be true and <br /> correct. All provisions of/Taws 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 <br /> violate or cancel the pro irons of any other state or local law regulating construction or the <br /> performance of co :tru!tion. That I am authorized by the owner of thisroperty to perform the <br /> work for which a..Ic.10 is made and l comply with the State Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> /ff1/4114k <br /> Pilaf! ? <br /> 9 <br />