Laserfiche WebLink
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 />� 3� 1 2�c�e�e.l 1-er <br />PROJECT ADDRESS <br />lna.n��d �31 e i �--e'i n��" � (7 �3�X, � Sa. l �v�er�e� �g� I � <br />Owner Mail Address City State/Zip Phone <br />Tenant Mail Address City State/Zip Phone <br />1�e �-forry�ce �lec�-�r �c. -t3o� a� ar�d �i ��,c� �n u�c�od c�V� �� a q a <br />Electrical ContraCtor Mail Address City StatelZip Phone <br />( �������� �1�5-"'rS�.l�s tc <br />���o� r � � r� �I�. oc� <br />State License Number Contract Price of Work <br />A �a,r-tm�n-�. �c.0 1 �1 � na, <br />Proposed Use of Building Contact Person (Plan Review) <br />Description of Work to Be Done: <br />� <br />��/ � � �YYI <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 />� �-�� <br />I 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 goverrnng th�s type of work will be completed <br />whether speafied herein or not. The grantrng of a perm�t does not presume to give authority to <br />violate or cance! the provisions of any other state or local law regulating construcf�on or the <br />performance of construcbon. That 1 am authorized by the owner of this property to perform the <br />work for which application is made and I comply with the State Contractors Law 18.27 RCW and <br />296.200 WAC. <br />% <br />�% � �GY�,.� ��j <br />