Laserfiche WebLink
, <br /> i <br /> ELECTRICAL PERlVIIT APPLICATION <br /> C{TY OF EVERETT PERMIT SERVICES 9�a5 <br /> 3200 �EDAR STREET, EVCRET'I", WA 98201 g`a <br /> 425-257-8810 - FAX 425-257-8857-www.everettwa.org C p 5 p�-1�l 7 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br /> PROJECT ADDRESS <br /> Owner Mail Address City SWte2�p Phone <br /> Tenant Mail Address Cily SlatelZip Phone <br /> Elecirical Contreclor Mail Address City StatelZip Phone <br /> State License Numb�r Conlract Price of Work <br /> Proposed Use of Building Conlacl Person (Plan Revicw) <br /> Description of Work lo Be Done: <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> G BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> l hereby cerii/y that I have read and examined this application and kno�v fhe same to be frue and <br /> conect. All provisions ollaws and ordinances goveming this type o(work will be completed <br /> whefher spec�fied herein or noL The pranting o(a permd does not presume fo give aufhonty(o <br /> violafe or cancel fhe provisions of any other slate or local law regu/ating consfrucfion or the <br /> pedonnance o/conslruction. Thaf 1 am authonzed by the owner o(this property(o peAorm Ihe <br /> work/or which application is made and 1 comply wilh the Slate Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> Si�nalurc Da!e �VJ�O �y� <br />