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 />601�A dry Ly ()Lv'D <br />PROJECT ADDRESS <br />Owner /^� all Address City State/Zip Phone <br />/"\1j <br />Tenant Mall Address City State¢Ip Phone <br />Zr,6i <br />FM rayC-Ta!C,,t„r�af.)t c 40CD1 R�ttL'5' u I WAr* 00q 399-� i9 <br />Electrical Contractor Mail Address City State2lp Phone <br />(inM (�L,&9 gjjT A 1,5 00, cb <br />State License Number Contract Price of Work <br />1;,1t2— -T)VA hr+'-_ az4 <br />Proposed Use of Building Contact Person (Plan Review) <br />Description of Work to Be Done: C-,ISK1 <br />NOT1 : 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 herobY 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 governing this type of work will bo completed <br />whether,peci ted hereln or not. The granting of a permit does not presume to give authority to <br />violatr or cancol the provisions of any other state or local law regulating construction or the <br />performance of construction. Thaf I am authorized by the owner of this roperty to perform the /7 <br />work for which application is made and I comply with the State Contractors Law 16.27 RCW and <br />296"euf <br />0 WAC. <br />IZ 0 <br />g g a Date <br />