Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREE , EVERETT, WA 98201 <br />425-257-8810 - FAX 425.257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 71.1 - DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />PROJECTADDRESS <br />111c�i� r Trucks ?_q ZG Corn rlc\ 1�� e 1 JC.v a , W IA q is r,� (9 75) Z � Z� <br />Own �r Mail Address city Statel2ip Phone <br />Tenant Mail Address city Statamp Phone <br />SUn� � �1�G�t1G ?_2?.�lC`a\��nryt;o� S} EvPv2i%/U114 �fYila �y7512-, <br />Eleetncal Contractor Mail Address city Statemp Phone <br />SC-) I\11-CFI ?_l It N PC I o . <br />State License Number Contract Price of Work <br />Proposed Use of Building Contact PJrson (Plan Review) <br />11 <br />Description of Work to Be Done: V1A Q 1 An (", t Al V D��'I <br />—SlA�{ e N\ it> Y12.1a p L13 e A <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, NIC OR AC CABLE. <br />I <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I n!reby certify that I have read and examined this application and know the same to be true and <br />o;rsct. All provisions of laws and ordinances governing this type of work will be completed <br />whither specified herein or not. The granting of a permit does not presume to give authority to <br />vio'ate or cancel the provisions ofany other state orloca! law regulating construction or tre <br />performance ofconstruction. That I am authorized by the owner of this property to perform the I,1 <br />Work for which application is made and I comply with the State Contractors Law 18.27 RCW and 11 1 V <br />296.20 WAC. V <br />i <br />2 zo ��ti <br />nature Dat <br />