Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES 7- 9 <br />3200 CEDAR STREET, EVERETT, WA 98201 /0 a <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org C1110 - t o <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />1 aOS S S_r ,.e, QW `-0Aff t0kl_ <br />PROJECT ADDRESS <br />C L�GLC.tt `iYl zo s <br />O1w/ner�1(�1 n Mail Address !� ��y� City <br />CQ State/Zip <br />{� Phone <br />_V 1 at vlr 1 rim S� 7r -I 1� to U, td�r _S:Y(M LC_. — <br />Tenant Mail Address City (T Statelzip Phone <br />Electrical Contratthr Mail Address City State/Zip Phone <br />State License Number <br />Proposed Use of Building <br />Description of Work to Be Done: <br />< DO � <br />Contract Price of Work <br />0 blA_n.� !�_la «l <br />Contact Person (Plan Review) <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO FEE <br />RE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certify that 1 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 />l�Cwhether specified herein or not. The granting of a permit does not presume to give authority to G 1 <br />violate or cancel the provisions of any other state orlocal law regulating construction or the <br />performance of construction. That 1 am authorized by the owner of thisproperty to perform the <br />work for which application is made and 1 comply with the State Contractors Law 18.27 RCW and <br />