Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-7_57-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIOIJS ARE ACCEPTED FROM 8 AM TO 4 PM <br />���D S�/�i/�mil �� q�l �� <br />PROJE T,4DDRESS <br />5����k�l,�� �ec� 1 �i�r% <br />Owner Mail Add�e55 <br />Terant <br />�� <br />Mail Address <br />Mail Address <br />S��mL���� <br />Stale License Number <br />______L�_�`Z� , <br />SC'li/,��C <br />Proposed Use of Building <br />Descriplion ot Work lo Be Done: j � � �� l <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERE?T LOCAL SALES TAX CODE IS 3105 <br />I hereby certily fhaf 1 have read <br />correcL All provisians o(/aws a <br />whetherspea/ied herein ornot. <br />violate or cancel fhe provisions, <br />pedormance o(construchon. /7 <br />work for �vhich applica�jo�i isjn� <br />29G.200 WAC. //. n <br />examined Ihis <br />�am <br />and <br />a <br />Cily <br />City <br />City <br />and know the <br />�ue o/ �vork w <br />I I <br />State2ip <br />State/Zip <br />�oo� <br />ConUact rice of Work <br />Conlact Person (Plan Review) <br />e to Ge true and <br />comp/eted <br />�e authonty to <br />fion or the <br />o perfomi the <br />8.27 RCW and <br />Phone <br />Phone <br />Phone <br />FEE <br />f''��s lc� _ �� <br />