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.evel.:ttwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PROJECT ADDRESS <br />Owner Mail Address �Ciity � Stztelzip Phone <br />Tenant Mail Address City Statelzip Phone <br />y8za / s�zsz-114�) <br />Electrical Contractor Mail Address City State/Zip Phone <br />ap <br />State License Number Contract Price of Work <br />6/ilQ�. tGc�_GG� u�cq <br />Propose(] Uselof Building �9 Contact Person (Plan Review) <br />Description of Work too oOp Be Done: _ �(�� o V Yr e_) Q ✓_8 1417' <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 I 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 reguPting construction or the <br />performance of construction. That I am authorized by the owner of this property to perform the <br />work for wl ' h applicaiior 's rnad rid 1 comply with the State Contractors Law 18.27 RCW and <br />298.200 C. <br />tg t e Date <br />�0'7 <br />