Laserfiche WebLink
a <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 />PROJECT ADDRESS <br />qstv��err JA <br />Owner Mail Address City State/Zip Phone <br />Tenant Mail Address City Stale/Zip Phone <br />r <br />i a FJ�J3 �T 7a <br />Electrical Contractor Mail Address City SlatelZip Phone <br />late License Numbeq Contract Price of Work <br />Proposed Use of Building Contact Person (Plan Review) <br />Description of Work to Be Done: ` <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 />1 hereby certify that 1 have read and examined this application and know the same to be true and <br />All correct. jot <br />of laws and ordinances goveming this type of work will be completed <br />whether specs tted herein or not. The granting of a permit does not presume to give authority to <br />violate or cancel the pprovisions of any c!her state or loc regulating construction or the <br />performance of construoften . That I am authonz a owner of this pproperty to perform the <br />work for which appHe Lion Is made and I c with the State ontractors Law 18.27 RCW and <br />290.i00 <br />( If <br />tore D3f <br />