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 — v✓ww.everettwa.org 606 OS? <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />-AiM24) Ran <br />PROJECT ADDRESS <br />�La <br />1 1� sav �5� la�u�IK'n kt Evoza7 UA- ,9�-?v 09E211 , <br />Owner Mail Address City State/Zip Phone <br />W L- ,AS aKmaLV_, <br />Tenant Mail Address City State/Zip Phone <br />S� - ftiS c�.1•.4��c� <br />Electrical Contractor Mail Address City State/Zip Phone <br />State License Number Contract Price of Work <br />?'.l X ? O' lL)1-5-Y k Ito Caf�'�AZ�G <br />Proposed Use of Building Contact Person (Plan Review) <br />Description of Work to Be Done: <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 govamivg this type of work will be completed <br />whether specified herein or not. The granting of a perm . 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 />performance of construction. That 1 am authorized by the owner of this roperty to perform the <br />work for which application is made and I comply with the State Contractors Law 18.27 RCWand <br />296.200 WAC. <br />OA <br />�Blgna V <br />re Dale <br />