Laserfiche WebLink
Jun 28 10 09:51a <br />•.. <br />425-334-7056 p 2 <br />C..: <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET. EVERETT. VVA 98201 <br />425-257-8810 - FAX425-257-8357-www.everertw.a.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />/I otf,l40-o R1Vd <br />PROJECT ADDRESS <br />Ay-\&,styrt (DI-1eo uJA <br />Owner Mail Address City Slate¢ip Phone <br />Tenant Mall Address City slale2lp Phone <br />I it qF,/b <br />Electrical Contractor Mail Address City slate/zip Phone <br />IN a) I IC) <br />State License Number Contra- Pd-- of Worlc <br />Proposed Use of Building rn��• //''``�� Contact Person (Plan RBO-✓ ) <br />Description of Work to Be Done. �k9, <br />NOTE: WRING 1NNON-OIVELLINGSlaREQUIRED TO FEE <br />BE IN RACEWAYS, 10C OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 31DS <br />t hereby certify that I have read and examined this application and know the same to be true and G I UV fY <br />corre All provisions of laws and orcinances gcveming this type of wort: will be cmp!eted <br />%whether spate led he, or not The ganlind of a permc does not presume.to s.ve.authort to . . <br />violate or cancel the provisions of ant, other state or local law regulating construction or the <br />perforr ance of construction. That I am authorized by the owner of this property to perform the <br />work for which application is made and I comply Jath the State Contractors Law 18.27 RCW and <br />296.200 VvAC. <br />to <br />