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 ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />PROJECT ADDRESS <br />l i z SiyliTfl C, 2.z. nl yctriz PK Feet,-/- t— w64 FZO< '/? F 7l0 7�i3 <br />Owner Mail Address City State/Zip Phone <br />Tenanl Mail Address City State/Zip Phone <br />/�✓rtrr ELf IG �00`/ tf0)k—Xvz Al /Je��2��ltio !1/i1 ` rrz- ryd-F;'7j9 <br />Electrical Contractor Mail Address City State/Zip Phone <br />State License Number Contract Price of Work <br />Proposed Use of Building Contact Person (Plan Review) <br />Description of Work to Be Done: 1 1 f l�✓1 N LF e�-1 <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 I have read and examined this application and know the same to be 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 presume to give authority to <br />violate or cancel the provisions of any other state or local law regulating construction or the <br />performance of construction. That I am authorized by the owner or this property to perform the <br />work for which application is madeen I comply with the State Contractors Law 18.27 RCW and <br />296.200 WAC. <br />Signatur Date /7 <br />