Laserfiche WebLink
20-Oct-2016 �3:05 From Mike W�er. Phane #36�2948276 <br />� <br />FaxZero.com <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />(P) 425-257-8810 � FAX 425-257-8857 �(E) everettepsC�everettwa.gov � www.everettwa.gov/permits <br />p.2 <br />> <br />, ,. <br />; ��.�GTR���.loi��'P#��G�#T�!�?N �N�Qf�,M�#'T���i ;: <br />CONTRACT PRICE OF WORK: $ $500.00 <br />NUMBER OF DEVICES (if low volta e): <br />FIRE ALARM? ❑ YES 0 NO <br />ASSOCIATED BUILDING PERMIT #(if a licable): <br />DESCRIPTION OF WORK: Add circuit for AC unit <br />,avHttMtN 1: I hereby certify thaf l have read and examined this application and know the same to be true and correci. Al! provisions of laws and ordinances goveming this type <br />of work will be completed whether specified herein or not. The granling of a permit does not presume to give authonty to violafe or cancel the provisions n( any othe� state or <br />local law regulating construciion or the perfoimance ot construction. That l am auihorized by the owner ot this property to perform ihe work for which application is made and l <br />cnmply with the S7ate Conf�actors Law 18.27 RCW and 296.200 WAC. <br />i�%' GGlP•!L (�(/G[�-`�. <br />10/ 19/2 016 <br />Owner/Authorized Agent Signature Date <br />City of Everett Official Use Only <br />PERMIT # <br />E ��co���3 <br />(Revised 9C13/2016) <br />