Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES Y` 5-10 <br />3200 CEDAR STREET, EVERE''T, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — wvvw.everettwa.org &/06 <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />r17 0 q �14M)CZ Zkjl <br />PROJECT ADDRESS <br />f y yoZ".5� <br />/1<<c'Isov 44. (ih�G�C�°�'% GL�i� �%✓�y3 �GSOtY <br />O nw er Mail ACJress City State/Zip Phone <br />Tenant Mail Address City Slate/Zip Phone <br />lkldle�� 339 A'IAlT GC4 <br />Electrical Contractor Mail Address City Stale/Zip 00 Phone <br />//C/_ 12)FE(l_ 5 Oo — <br />State License Number Contract Price of Work <br />j)1 5/ l7 c' fl 6 e, <br />Proposed Use of Building Contact Person (Plan JReview) <br />Description of Work to Be Done: 1 II!,e'1// /7t, 7/7i.1� <br />NOTE: WIRING WIRING IN NON -DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE. <br />7 <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certify Ihaf I have read and examined this application and know the same to be true and <br />correct. All provisions of laws and ordinances governing Ih/s type of work will be completed <br />whether specified herein or not. The granting of a permit does not presume to give oulhonty to <br />violate or cancol the provisions of any other state or local law regulating construction or the <br />ml/ <br />poAoance of construction. That I am authorized by the owner of this property to perform the d <br />work for which application is n e and I comply with the State Contractors Law 18.27 RCW and <br />296.200 WAC. <br />/0 <br />Sign If <br />V Date <br />:y <br />�5 <br />