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 />1+17 24 5 a� Lt_�w� �rv� <br />PROJECT ADDRESS <br />Owner Mail Address City Slate/Zip Phone <br />Tenant Mail Address City State/Zip Phone <br />�ttJnuuy � __ <br />Electrical Contractor Mail Address City StaletZip r`nca,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: f)tit <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 the 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 0 -7 <br />violate or cancel the previsions of any other state or local law regulating construction or tile L <br />pedormance of construction. That lam authorized by the owner of this roper y mr to perfothe <br />work for which application is made and I comply with the State Contractors Law 18.27 RC W and <br />2 6.200 WAC. <br />Flo, <br />Signature Date <br />