Laserfiche WebLink
F ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 �-0-7 f � <br />425-257-8810 - FAX 425.257-8857 - www.everettwa.org �r 20 a- -034 <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />z O z. 3 SA /N F-eQ AVE- <br />PROJECT ADDRESS <br />yz5 Z� $5�'FO <br />l 1- cimNS G. StAV t-V } O'L3 Ct-A6U-�•t0�) LAW 4PJ U A 9�203 <br />Owner Mail Address City State&p Phone <br />Tenant Mail Address City Slate2ip Phone <br />Electrical Conlracto Mail Address City State2ip Phone <br />j�lC I�tNGcc+e3NS <br />Slate License Number Contract Price of Work <br />Proposed Use of Building Contact Person (Plan Review) <br />Description of work to Be Done: R f l U ZO 0 hJ di-) <br />f za PrrnP /-IOU /1!, GAnAInt �faeculT <br />f - Le-ritr- Dt=> A( Hob LaH2AGr_ <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE. I - 5 00 <br />� <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certify that I have read and examined this application and know the same to be true and I ZQ Z - 031 <br />cr,,rect. 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 cancef the of any other state or local law regulating construction or the <br />performance of construction. That I am authorized by the owner of this roperty to perform the <br />work for which application is made and I comply with the tale Contractors Law 18.27 RCW and <br />296.200 WAC. <br />41 ignature Date <br />