Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 /C4 <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />�PJ�ING 'P, %"(C LD-r +0�II <br />PROJECT ADDRESS <br />"�DeiVk'�' 11.0. FioX 3-70-1 r1lc Zo-oo C_-jf CL£ VJA- <br />Owner Mail Address City Slate/Zip Phone <br />Tenant Mail Mall Address City Stale/Zip Phone <br />115- <br />I UU W�a � ' n C►�a CW T) !j �t unit 4 8zo 3 k 3�z' <br />Electrical Contra or Mail Address City State/Zip Phone <br />4-1 N4 4-11-2,629 .00 <br />State License Number f� 1u0 Contract Price of Work <br />+Pp 1 lc.i V\ - <br />Prop sad Use of Bui - g I Contact Person (Plan <br />(Review) <br />'�,or <br />Description of Work to Be Done. �`� 14 y�.Q-k�.1 OlL `1 t ! t S l dl.R � - <br />C�Ov�-t.Q <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE. <br />Ila3.a-7 <br />CITY OF EVERr:TT LOCAL SALES TAX CODE IS 9105 <br />1 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 goveming this type of work will be completed <br />whether specified herein or not. The granting or a permit does not presume to give authority to <br />violate or cancel the previsions of any other state or local law regulating construction or the <br />performance of construction. 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. 100 WAC. <br />Signelur Dale <br />