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 <br />PROJECT ADDRESS <br />t 5,- /�REs(�,fe.: z`(7G 6C16ar=ru.we a'r_*2ErT t.✓? i820� <br />Owner Mail Address City State/Zip Phone <br />Tenant Mail Address <br />/� City State/Zip Phone <br />r 1n14L- EL�c7et< 3W MC10ako-.HLL CvcA4-1 t✓4- J'420t y.15-.2 4-1?Od <br />Electrical Contractor Mail Address City State/Zip Phone <br />r3414L,6-^1 12G coo �)IfI�vv �_o <br />State License Number Contract Price of Work <br />Proposed Use of Building Contact Person (Plan Review) <br />Description of Work to Be Done: DNG kFT"Fir r DN ('{rIQ 10 /-LOdZ <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 1 have read and examined this application and know the sarne to be true and <br />correct. All provisions of laws and ordinances governing this type of work will be completer/ <br />whether specified herein or not. Tire granting of a pemrrt does not presumo to give authonly to <br />violate or cancel the pprevisions of any other state or local law regulating construction or the <br />perfomrance of constmction. Tliat l am authorized by the owner of lhrs property to perform the <br />work for which application is made and I comply with the State Contractors Law 18.27 RCW and <br />296.AllAC. <br />�7�1�-rp <br />Signature Date F I v v� �7 6P <br />