Laserfiche WebLink
I <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — wvnv.everettwa.org <br />C 13�Z�5� <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PROJECT ADDRESS <br />mm.%_ 1r��.Ib Vv/� r?Rlw� AILS >47—''iJI <br />Owner Mail Address City Stale/Zip Phone <br />3 5 vJ r E v 2� - <br />Tenant Mail Address Cit Stale/Zip Phone <br />N 5 5 _ CvF.nctr Multi �zol 4 25 25L-__49 <br />Electrical Contractor ail Address City State/Zip Phone <br />N1GL(Iw EL OC) LoO.ea <br />State License Number Contract Price of Work <br />Proposed Use of Building Contact Person (Plan Review) <br />Square Footage (If residential new construction, remodel or addition) <br />Description of Work to Be Done: y&�h L tl' LJ kC �2(k VJEL4 rCQ , <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE. L _ <br />'C �`urSJ <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certify that I 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 v <br />violate cr cancel the previsions of any other state or local law regulating construction or the <br />performance of construction. That 1 am authorized by the owner of this roperly to perform the <br />work for which application is made and I comply with the State Contractors Law 18.27 RC W and <br />296.200 WAC. <br />-' Signature Date <br />