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 C 0 y0 1--0 ab <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PROJECT ADDRESS <br />Owner Mail Address City State'Lp Phone <br />✓ (` ^" �r� ? i. 'Tit H a N Cllivl L) ( cv� <br />Tenant <br />�y��'I// &fail Address City State/Zip Phone <br />Electric I Contractor Mail Address City State/Zip Phone <br />Slate License Number Contract Price of Work <br />Proposed Use of Building Contact Person (Plan Review) <br />Description of Work to Be Done: %%-�/-w f,�_/ �' • •'c • T �, ;�2 •,' <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, h1C OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I heroby certify that I have read and examined this application and know fho some to be fmo and <br />cormct. 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 resume fo give authorityto <br />violafo or cancel the provisions of any other state or local law regulating construction orthe <br />perfontranco of construction. Tltaf I am authorized b)• the ownor of this property to pedonn the <br />work for which application is made and 1 comply with the State Contractors Law 1 &27 RCK/ and <br />296.200 RIAC. <br />Signature Date <br />FOB '02--CZ I� <br />