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 />0(� <br />PROJECT ADDRESS <br />jQ��NS _Kite Oc re: 50-27F'&e, rd, 6yE e# 40A. 2-203 0:4a53--5-3-777") <br />Owner Mail Address City Slate/Zip Phone <br />N i fa <br />Tenant Mail Address City State/Zip Phone <br />Electrical Contractor Mail Address City State/Zip Phone <br />Slate License Number / Contract Price of Work <br />5;N/ lP 1n..✓r/'�/ �esi clC;4rP .-1TTq ' `off <br />Proposed se of Building Contact Person Plan Review) <br />I /�,;t5 �o8-5aol <br />Description of Work to Be Done: (de c r. S iiG <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 I Zv - <br />I 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 >�Z70 <br />whether specified herein or riot. The granting of a permit does not presume to give authority to <br />violate or cancel the previsions of any other state or local law regulating construction or the <br />performance of construction. Thal l am authorized by the owner of this roperty to perform the <br />work for which application is made and I comply with the State Contractors Law 18.27 RCW and 0 p^ �JO� <br />296.200 WAC. 6 rf _ <br />3 <br />nC-- G� <br />Signature Date <br />