Laserfiche WebLink
) <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 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />(_,q I N_ ry vT SI Ceti i t_0(ctAA- <br />Vic. �, ' t -i►g---z-vrTt��r—�i c;� 3 <br />PROJECT ADDRES�-J <br />Owner Mail Address City Slate/Zip Phone <br />Tenant Mail Address ly Slale2ip Phone <br />ElectricalContractor <br />r ^ ( u <br />C1 onlraGtorA1ail dr ss GI; Stale/Zip Prone <br />St License Number Co tract Price of Work <br />E_�M C IF Cl, G � - <br />Proposed Use of Building Contact Person (Plan Revaw) <br />Description of Work to Be Done. , 1 r <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certify that I have read and examined this application and know the some to be true and Ci <br />7 correct. All provisions of laws and ordinances governing this type of work will be completed <br />whether specified heroin or not. The granting of a permit does not resume to give authohty to <br />violate or cancel the provisions of any other state or local law regulating construction or the <br />performance of constriction. That I am authorized by the owner of this property to perform the <br />work for which application is trade and I comply with the State Contractors Law 18.27 RCW and <br />2 9 6!, 21 WA <br />I, pq <br />A_ 0 <br />�VSrgnatt Date <br />