Laserfiche WebLink
ELECTRICAL PERMIT APPLICA T iON <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 t PM <br />PROJECT ADDRESS <br />b ,4 R tn)A �aS z 5 q 61 zQ <br />Owner Mail Address City Slate/Zlp Phone <br />I� <br />Tenant Mail Address City State/Zip Phone <br />D, � rF-AsuA) Firer pt: (,jc 93ZZ 13zaa S� 46uwjcd <br />Electrical Contractor Mail Address City aQa 7 Stale/ZipL0( - `1S3_8 P one <br />q 5 — <br />Ii ooa8 L 60o <br />State License Number Contract Price of Work <br />P J11 Si'oae,fOE <br />Proposed Use of Building Contact Person (Plan Review) <br />Description of Work to Be Done: /% O,e NE -4Ud /f L(- V f C <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 />I hereby certify that I have read and examined this application and know fire same to be true and <br />correct. 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 provisions of any other state or local laly regulating construction or the <br />performance 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 with the State Contractors Law 18.27 RCW and <br />296.200 WAC. <br />r 61 <br />" w/ <br />C�0 <br />