Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 y ` '7 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.ora CD `g04 <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PROJECT//ADDRESS n <br />Owner Mail Address City Slaleop Phone <br />Tenant Mall Address City Staleop Phone <br />LylfL �t /� r 1���/// ` !i(l1 J� & O <br />Electrical Contractor Mall Address el City Slate/Zip Phone <br />1)4N�.S V'� /ol �l� /(/, 50 . ol> <br />Slate License Number Contract Price of Work <br />lLrfl <br />Pro ogod Use o Building Contact Person (Plan /Review) <br />Desc 'ptlon of Work to So Dane: <br />L� ,a <br />NOTE: WIRING IN NON-DVVELLINGS IS REQUIRED TO FE <br />BE 114 RACEWAYS, NIC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certify That I have read and examined this application and know fhe same lobe true and <br />correct All provisions of laws and ordinances goveming this type of work will be completed <br />whether specified herein or not The granting of a permit does not resume to give authority to <br />violate or cancel the Provisions of any other state or local law regulating construction or the <br />performance of (istruction. That I am authorized by the owner of this property to perform tire <br />work for wllicl p4lication Is a and) comply with flmo State Contractors Law 18.27 RCW and <br />296.200 WA <br />Slgnat Dale \nJ <br />