Laserfiche WebLink
0:/161201It 06:20 4254885288 <br />PAGE 01/01 <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425.257-8810 - FAX 42.5-257-8857—www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PROJECT ADDRESS <br />Ovaler flail Addmss C,ly Stale/Zip Phone <br />7.& /n Tenant Mall Address City S:alolzlp Phone <br />153 <br />AiS S !Luc i- j 5txJ,L- 3> POLY X LItZK nw� rJ a6/bS- P:71rl-L k r�r %?11// ui i?- - I I L•3r <br />Electrical Cenlracl Mall Address Ctly State21p Phone <br />Slate License Number Contract Price of Work <br />Proposed Use of Building Contact Person (Plan Review) <br />Description of Work to Bo Done: I N <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 7105 <br />I hereby certify that I have mad and examined this application and know rho soma to be true and <br />correct. All provisions of lotus and ordinances oovormn- ns typo of work wio be completed <br />whetherspecr6ad hcmitl or not. The granting of o pomi� does not Aresuma to give aumonty ro -- <br />violate or cancel the pprevisions of any other state or local law regulating construction or the <br />perfomlance of constmction, chat I am authorized by the owner of this property fo perform the <br />work for which application is made and I comply with the State Contractors Law 18 27 Y,CW and <br />296.200 141AC. <br />Signature Date <br />