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 3 .-13-13 <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM 1W 3 -01 S <br />PROJECT ADDRESS <br />C`loss� �nawarlo ��dv1 c�yere <br />Owner Mail Address city State/Zip Phone <br />Tenant Mail Address city Stale/Yip to <br />az5 <br />a1in6a �hc <br />Electrical Contractor Mail Address city State/Zip Phone <br />I �P� F�.6o <br />State License Number. Contract Price of Work <br />Igo <br />Proposed Use of wilding Contact Person (Plan Review) <br />Square Footage (If residential new construction, remodel <br />or addition) <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. C <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 />performance of construction. That I am authorized by the owner of this roperty to perform the <br />work for which application is made and 1 comply with the State Contractors Law 18.27 RCW and <br />296.200 WAC. <br />3 13 <br />gnat Dat <br />