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 - wwtv.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />21`� Si <br />PROJECT ADDRESS <br />HMQ rr l3tar�, Kj WS ,�q22 ltJ�t .,�J 1 �JEQF i T (1)(i ` 20 S- #Z5-3'I )- )3 E G <br />Owner Mail Address City State/Zip Phone <br />Tenant Mail Address City State/Zip Pnone <br />Electrical Contractor Mail Address City State/Zip Phone <br />Slate License Number Contract Price of Work <br />Proposed Use of Building pp Contact Person (Plan Review) <br />Description of Work to Be Done: 1 l�M t F e _ EC . <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 />I hereby certify that 1 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 specified herein or not. The granting of a permit does not presume to give authority to <br />violate or cancel the provisions of any other state or local law regulating construction or the <br />performanre of construction. That 1 am authorized by the owner of this roperty to perform the <br />work for which application is ade and I comply with the State Contractors Law 18.27 RCW and �l\ <br />296.200 C. U <br />igna ure - Dale � DG <br />1!- <br />\ A � <br />�l � <br />