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 />14 fla SE EUereA� MAI 1 �►��� <br />PROJEECTADDRESS <br />(r00 <br />Srb <br />Address City <br />Owner <br />Stale/Zip Phone <br />I `Mail <br />\Jl�lZOl 1 o V T ) V s <br />Tenant Mail Address City <br />State/Zip Phone <br />-�,� <br />U �`Zo �j C.RSN0 V�� <br />I &W6 I v� ' 42S/513-110 <br />Electrical Contractor Mail Address City <br />Slate/zip Phone <br />5 <br />\ILRIzQ 1 OOSQ�= <br />q,on o OO <br />State License Number <br />Contract Price of Work <br />At\IW C(3SS-425UM <br />Proposed Use of Building <br />Contact Person (Plan Review) <br />Be <br />Description of Work to Done: <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />FEE <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <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 governing this type of work will be completed <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 />perfomtance of construction. That I am authorized by the owner of this roperty to perfomt 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 />Date <br />Signature Soy_�6 y <br />0 IN <br />