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 />3zuq rz-ocrk- ilL Av _ <br />PROJECT ADDRESS <br />Owner Mail Address City Stalelzfp /'10�/- Phone <br />�1Y <br />/cw4n(E cNAu 6500 30« f4U Saul H,AT.�3T0— <br />Tenant Mail Address City —� St, telzip U, , jlhone <br />;ur <br />MAkIDEA C ES /�— <br />Electrical Contractor Mail Address City Slato'01) Phone <br />Ekt-A Aj Cs l 6b6 <br />State License Number Contra t Price of Work <br />,it.t �,�, _ n1 fiKT <br />Proposed Use of Building Contact Person (Plan Review) <br />Description of Work to Be Done: _tj9 /j TQ 0 L!T-So)k C ooLle A . <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE. [ l c v <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 7 <br />1 hereby certify that 1 have read and examined this application and know file same to be We and <br />correct. All provisions of laws and ordinances governing this type or work will be completed <br />whether specified herein or not. The granting of a permit does not resume to give authority to <br />violate or cancel the provisions of any other state or local law regulating construction or file <br />performance of construction. That lam authorized by the owner of this roperfy to pe:4orm the <br />work for which application is made anr:1 comply with the State Contractors Law 18.27 RCW and <br />296.200 :VAC. <br />/o i as <br />Signature ate <br />GSIG-p01 <br />