4118 GRAND AVE 2018-01-02 MF Import

i ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 425-257-8810 - FAX 425-257-8857 — www.everettwa.org APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM PROJECT ADDRESS Owner Mail Address City State/Zip Phone Tenant Mail Address City Slate/Zip Phone -Electrical Contractor Mail Address City State/Zip Phone State License Number tz �qh, y�y Contract Price of Work Proposed Use of Building / Contact Person (Plan Review) Description of Work to Be Done: I Fl iy, I((��CO P-I AILI NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO FEE BE IN RACEWAYS, MC OR AC CABLE. CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 1 hereby certify that 'have read and examined This application and know the same fo be Irue and correct. All provisicas of laws and ordinances governing this type of work will be completed whether specified herein or not. The granting of a permit does not resume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Thot l am authorized by fhe owner of Ulis property fo perfoml the work for which application is made and 1 comply with the State Contractors Law 18.27 RCW and 296.200 WZ.p� Signature Dale