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 t7 607 _ 03 <br />PROJECT ADDRESS <br />:5_(�Nj(G J ( EvicecT cJA 9'G203 �¢zs)Zs'R42t <br />Ownn �eerMall Address city StateOp Phone <br />Tenant Mail Address city Staleop Phone <br />Electrical Contractor Mail Address cityStatelzip Phone <br />Slate License Number Contract Price of Work <br />�1NffE QA✓M%t_1 �GStD/arLE <br />Proposed Use of Building Contact Person (Plan Review) <br />Doscriplion of Work to Be Done: �rouL r1L-rFQ {r t` T Ta Gv1RA6E '3i4s Af_L Zoo A,^+P rtW4� IN <br />(= APr AGE �iU N CeN p j r—% Fa0'15E -tvc_ 100 R^ P 5 +5 PMtEt , <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 I have read and examined this application and know file some 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 pem it does not presume to give authority to <br />violate or cancel the provisions of any other state or local law regulating construction or the <br />performance of construction. That I am authorized by the owner of this p�roperty to perform the <br />Work for which application is made and I comply with the State Contmcfors Law 18.27 RCW and <br />296.200 W4C. <br />- Date <br />signature <br />