Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br />CfTY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — v�nvw.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />�.�CU U/4'f�^.�, r %S�Uif�, <br />PROJECT ADDRESS � <br />Owner <br />Tenant <br />[ledriwl Contraclor <br />Address <br />btail Address <br />Mail Address <br />�- (� <br />� <br />�/i cJ�,S1 Ui 9 .�'i,� <br />State License Numbcr <br />C:�'// fc� �� N� C�' L� c�.�� <br />Proposed Use of Building <br />Ciiy <br />City <br />Slale/Zip Phone <br />�,/ - . 9�'s`2 <br />Slate/Zip Phone <br />��:t ��i; r-� � <br />Stale2ip Phone <br />� . �?� <br />?� k'JL� <br />ontract Price of Work <br />Contact Person (Plan Review) <br />Description of Work to �e Done: C� (� I/ /�%�-�%' �� �J� �' �— J <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE �N RAC[WAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br />I heicGy ceridy Ihaf I have road <br />conecL All provrsrons n//a�vs s <br />ivhefher sper.died heiem or nof. <br />violnre or cm�cel rhe P�ovisions <br />perfomtance ol construchon. T <br />work /or u•hrch apphcation is nit <br />29G200 4t�AC. / � <br />�• <br />�� �� <br />-� Signalurc <br />FEE <br />e+amined flus applicafion and kno�v fhe sarne fo be true and � �• f�G� I I �- <br />rdinances ��,. nming Ihis fype ol worh will be cornplefed <br />r gren6rrg ol a c^mnf does nof presume fo give authonty lo <br />ry ofher state ,.r locol law regulafing conshur.lion or (he <br />am aufhonzed by Ihe o�vnerollhls property lo ��e�forrn the <br />rrd 1 comply �vilh fhe Slate Confiac(ors Lan� 18 27 RCIh' and <br />