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 />PROJECT ADDRESS� / c <br />Owner Mail Mail Address City StatelZip Phone <br />Tenant Mail Address City Slate[Zip Phone <br />y� /liinc%i.�in i C'o �tlp �i7Rar /�/A9 �uarf <br />Electrical Contractor Mall Address City Slate0p Phone <br />R" $'cam er <br />Slate License Number Contract Price of Work <br />Proposed Use of Building Contact Person (Plan Review) <br />Description of Work to Be Done: NCry 61--�4c% !J <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE. <br />qa� <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 />corirct. All provisions of laws and ordinances governing this type of work will be completed <br />whetoer specified herein or not. The granting of a permit does not presume to give authority to <br />viola), , or cancawe provisions of any other state or local law regulating construction or the <br />performance of cdnsiruc That I am authorized by the owner oI this roperty to perform the <br />work for which a plication is ade and I comply with the State Contractors Law 18.27 RCW and <br />'296.200 WAC. ' <br />-70 <br />SI nalur Date <br />