Laserfiche WebLink
ELECTRICAL PERMIT: APPLICATION <br />CITY OF EVERETT PERMIT SERVICES g _ , g _47 <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org r 070g-�-Oq� <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM v <br />04 L,lr(�n�l <br />PROJECT ADDRESS p <br />,cv�)t �� oC{ ��%Git�X t�✓�t �JCt f�. kJA `kLS4 <br />Owner Mail Address City State/Zip Phone u <br />.S> L-t S T �9 L� iU 2 qot re, 41 S 4 42 4 S <br />Tenant Mail Address City State/Zip Phone <br />_ 0 WA <br />Electrical Contractor Mail Address City Stale/Zip Phone <br />(460-0 <br />Stale License Number 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 />I hereby corfity thnt I have read and examined this application and know the same to be true and G U !�Q_ _ G G1 <br />correct. All provisions of laws and ordinances governing this type of work will be completed L V (J <br />whether specified herein or not The granting of a permit does not presume to give authority to <br />violate or cancel the Provisions of any other state or local law regulating construction or the <br />performance of construction. That I am authorized by the owner of this roperty to perform the <br />work for which application is made and I comply with the State Contractors Law 18.27 RCIV and <br />296.200 WAC. <br />Signature Dale <br />NW <br />L <br />❑9 <br />