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 — vrNw.everettwa.org G1 Z/-0 —133 <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PROJECT ADDRESS <br />��41 <br />jg28 Z'6 �: Ur ��;Irll� t~A 9kU'2��>-32-J <br />Owner \ Mail Address City StatelZi <br />p Phone <br />lZip Phone <br />Tenant Mail Address <br />City State <br />In-Ifi:w� �c�eir,Z /V 1 LJ V ^ Electrical Contractor Mail Address City State/Zip Phone <br />1N1-IOU 9S2G 6 _ 0Gwct Price of Work <br />State License Number Contra <br />Proposed Use <br />of Building <br />se Contact Person (Plan Review) <br />O C/�i <br />Square Footage (If residential new construction, remodel or addition) <br />Description of Work to Be Done: J <br />r kwe/ReA f fymod I _ <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO FEE I, <br />BE IN RACEWAYS, MC OR AC CABLE. 75 w <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 l <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 fills typo of work will be completed 12 <br />l 0 — 133 <br />whether specified herein ornot. The granting of a permit does not presume to give authority to <br />violate or cancel the provisions of any other state orlocal law regulating construction or the <br />performance of construction. That I am authorized by the owner of this property to perform the <br />work <br />for WAC application is made and I comply with the State Contractors Law 18.27 RCW and <br />011511 Z— <br />