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 <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />�o <Cn G� ic-A KS� 7y U'L <br />PROJECT ADDRESS <br />�DA�y�O � A rl /c13z z YZN d Aw /,l -"�-fz e <br />Owner Mail Address City State/Zip Phone <br />Tenant Mail Address City State/Zip Phgg <br />S <br />�^ <br />E—le6t'rical ontractor Mall Address City State/Zip Phone <br />00 <br />Slate Lice ii se Number Contract Price of Work <br />g''-/� 1<;�_ZL <br />Proposed Use of Building Contact Person (Plan Review) <br />Description of Work to Be Done: a All A e "' <br />Cocf �-Codes l,eey <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 govemmg this typo of work will be completed <br />whefher specirred herein or not. Tho granting of a pemut doss not resume to give authority to <br />violate or cancel the provisions of any other state or local lety reguPting construction or the <br />performance of constructlon. That l am authorized by the owner of this ropedy to perfomr 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 />—,NgnaKe Dale <br />