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 — wvAv.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PROJECT ADDRESS <br />E <br />Owner Mail Address / �-2— City State/Zip �7 r Phone <br />/'i H I S LK I yd� E ave--e f lop « w� ✓ 7 <br />Tenant Mail Address city State2ip Phone �iiQ63 <br />Electrical Contr for Mill Address Ciq Slate/2ip Phone <br />State Lase Number Contract Price of Work <br />Proposed Use of Bu'lding ` 1 Contact Person (Plan Review) <br />Description of Work to Be Done: Z�j /� Lam- 1L L L4 IH F <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 <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 p resume to give authority to <br />violate or cancel the provisions of any other state or local law regulating construction or the <br />performance of construction. That I 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 />296.20 C. <br />Signature D to <br />