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 />PROJECT ADDRESS <br />?O ttC[.PJL� <br />Owner Mail Address City State/Zip <br />Phone <br />Tenant Mail Address City State/Zip <br />Phone <br />Electrical Contractor Mail Address City Stale/Zip <br />Phone <br />State License Number Contract Price of Work <br />Proposed Use of Building Contact Person (Plan Review) <br />nn,, <br />Description of Work to Be Done: 1--7 w S-"w--" cc hA Qs <br />i <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 certily that 1 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 />That 1 by <br />performance of construction. am authorized the owner of this property to perfomt the <br />work for which application Is made and I comply with the State Contractors Law 13.27 RCW and <br />296.200 WAC. <br />i <br />Ignalure Date <br />