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 ACCEFTED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />;'505 Hn2nsxx�l IZn. <br />PROJECT ADDRESS <br />aLN'rLy �oyC FLLorxy"s llc 32, Htr.,h -� -volPrI3381 �414 2IP17t I3u14D WA `1f110 <br />Owner Mail Address City State/Zip Phone <br />AVf6slslz-_6 ohpiyI 7505 HArzDE6CA -�M '-VF_QEIT WFt 982o3 <br />Tenant Mail Address City State/Zip Phone <br />OF4 rVE25AL MVHAN%CAL ..o.3ox a6"19 12r0MociD W)k 990-7S 4a5-Pfs5-Um <br />Electrical Contractor Mail Address City State/Zip Phone <br />00 <br />U/-wM-5 I32S(- .Soo — <br />State License Number Contract Price of Work <br />WA¢EHouSE10FFICr-- 5km <br />Proposed Use of Buildina Contact Person (Plan Review) <br />Description of Work to Be Done: Lo.4 VcLTALjE t40J ke CoRTRc L W r 2I 0 i, t uo � <br />TNL-2KChT�4T-S . <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 1 havo read and examined this application and know the same to ba 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 ions o(any otherstate or local law regulating construction or the <br />performance of con cti0n. That 1 am authorized by the owner of this propeny to perform the <br />work for which ap cation is made and I comply with the State Contractors Law 18.27 RCW and <br />296.200 WAC. <br />- �... urns yz -y✓r4 03 <br />Signature Date <br />