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 B AM TO 4 PM <br />PROJECT ADDRESS <br />�ao79 �� <br />Owner Mail Address City State/Zip Phone <br />Tenant Mot Address City State/Zip Phone <br />(')WA)aZ <br />Electrical Contractor Mall Address City State/Zip Phone <br />State License Number Contract Price of Work <br />OLd(:�LIA /-, <br />Proposed Use of Building Contact Person (Plan Review) <br />Description of Work to Be Done: .I`A)15TAU. dl U kM p 6. 20(1 <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 spewed herein or not. The granting of a permit does not presume to give authority to <br />violate or cancel the provisions of apy gther stale or local law regWat%ng construction or the <br />perlormance of construction. Theft 81 authorized by the owner of this property to perform the <br />work for which application !s made and 1 comply with the State Contractors Law 18.27 RCW and <br />296,200 WAC. <br />Signature ale <br />