Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8E.57 --Nm,.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />A <br />PROJECT ADDRESS <br />�Zff=C6 CAS)4-�f g01z 7r-tAVf9.IF, C-Vea&,,r V/'N 417- rzS-6 <br />Owner Mail Address City State/Zip Phone <br />Tenant Mail Address City Stale/Zip Phone <br />V.Jl2,��tNorzlc5 <br />Electrical Contractor Mail Address city State/Zip Phone y <br />y <br />Wlr,e'Wcrqqoz_r7 <br />State License Number Contract Price of Work <br />(7_FS)VE7JTIA'L <br />Proposed Use of Building Contact Person (Plan Review) <br />Description of Work to Be Done: AL TLF 9— C 1K C U ITS IA.l (Li TLFf W(5A 17q 4_gV/J2K Y 2dofn <br />Ai,1✓� 6AAA4 t:' AO D S m alcc oc= a-roa S - H . -u-1-c t <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 canny that I have read and examined this application and know the settle 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 resume to give authority to <br />violate or cancel the provisions of any other state or local law regulating construction or the <br />performance of construction. That I am authorized by the owner of this property to pedoan the <br />work for which application Is made and I comply with the State Contractors Law 18.27 RCW and <br />296.200 W96�%� <br />AC. <br />F -zy- 0 7 <br />Signature Date <br />