Laserfiche WebLink
l <br /> ELECTRICAL �ERMIT APPL&�ATION <br /> CITY OF EVERETT PERIYIIT SERVICES <br /> 3200 CEDAR STREET, EVCRETT, 1.VA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everethva.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PNI � <br /> (�4/ � e. s <br /> PROJECT DDRESS <br /> OWnef Mail Address City State/Zip Phore <br /> ��f �ov� �'�ne�r �IDI� /�� rP�'E �',v�" Gf/,4. j8208' <br /> Tenant Mail Address City StatelZip Phone <br /> Merit Electric, Inc. 79029 36th Ave West Suite D Lynnwood WA 98036 (425)775-1356 <br />' ElecMcal Contractor MaJ Address Gly State/zip Phone <br /> ��,�-° o°o _" <br /> MERITE10448Q <br /> State License Number Contra t Price of`Nork <br /> �Q'G /I'f <br /> Propused Use of Building Contact Person (Plan Review) <br /> Description of Work to 8e Done: ��Q.f,f v�� TG/`�,[jIT , <br /> NOTE: WIRING IN NON-DWELLINGS 'S REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLF. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 � ����L� _ ��� <br /> I hereby certily fhat I have read and examined this application and kno�v the same ro be true and �j <br />� correct All provisions o/laws and ordinances govemmg this type ol work will be completed <br /> j whether speci6ed herein or ncf. The granting o/a p-,rmif does not presume to give authonty fo <br /> violate orcancel the provisions ol any other state or local law regu(ating construction or the <br /> perlormance ol cons(rucfion. That/am authonzed by the owner o(this property to perform fhe <br /> tvoifc lor which applicafion is made and 1 compl���vith the State Contractors Law 1827 RCW and <br /> 296.200 WAC. <br /> - � Z� 2 - <br /> na ure Date <br />