Laserfiche WebLink
Fr ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 5 i II <br />425-257-8810 - FAX 425-257-8857 —www.everettwa.org 6 I p5_ 19 9 <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PROJECT ADDRESS <br />�z5.3o6 -%oA4 <br />�� IJ'�D�LfI F:�oW D I t� c ljy�p�- mil•=G.� l t tJ._i� G `��u�i <br />Owner Mail Address City State/Zip Phone <br />Tenant Mail Address City Stale/Zip Phone <br />425 t��-0,0r'% <br />w-A `i°?i:r'� <br />Electrical Contractor Mail Address City Stata/Zip Phone <br />a 5co <br />Stale License Number Contr�e of Work <br />t <br />Proposed Use of Building Contact Person (Plan Review) <br />Description of Work to Be Done:l <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 />1 hereby certify that I have read and examined this application and know the same to be true and ��eJ — �' �� <br />i <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 resume to give authority to <br />pp <br />the otherstate orlocallaw regulating construction orthe <br />violate or cancel Prowsro ofany <br />peAonnance of constmctio . That 1 a authorized by the owner of this roperty to perform the <br />for 1 the State Contractors Law 18.27 RCW and <br />work which a pllcation s made an comply with <br />296.200 WAC. <br />nature Date <br />