Laserfiche WebLink
f f <br />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 />31 31 Njl1I s T &\I! v! r .1,lJ4 <br />PROJECT ADDRESS <br />CC_ 15 yo7_1 AO47-AJa #IDK 0015r! T W-14 42-5•i34-bbaa <br />Owner Mail Address City State/Zip Phone <br />N ATSS J A 1M i CVy. 3 t-% t Q A Ssvit ST FI)s►testi ulv� ��tS 335 0` Sb <br />Tenant Mail Address City Staterzip Phone <br />Me;(zrr- qe"o lS;. 0 aer- tlr aW0ftJ2AA 9¢bsz y25•033-fiu'l <br />Electrical Contractor Mad Address City State/Zip Phone <br />MOZA-rMz o I I D A .1 /, slf • o v <br />State License Number Contract Price of Work <br />C� 1 L .JCIZDMW- SNAw/ <br />Proposed Use of Building Contact Person (Plan Review) <br />Description of Work to Be Done. tMOG^fA' rAw-�AIILrr T1+MLVh0.STft- 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 I have read and examined this application and know the same to be true and <br />con -et. 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 previsions or any other state or local law mgu/ating construction or the <br />performanco of construction. That 1 am authorized by the owner of this property to perfcmi the <br />work for which application is made and I comply with the Stale Contractors Law 18.27 RCW and <br />296.200 WAC. <br />Signature Dale <br />c�05� G� <br />