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 <br /> �Ttlr/i0 j,P�o <br /> Owner Mall Address City SIato'711, Phone <br /> Tenant Mail Address City State/Zip Phunc <br /> Electricalonlractor Mall Address City StatelZip Phony. <br /> State License Number Contract Price of Work <br /> SF2 <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work to Be Done: Fj PL Y2°y-nA p I <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 certlly that 1 hove read end examined this application and know fire same to be true and 6 �,2 <br /> correct. All provisl0ns of laws end ordinances goveming this type of work will be completed <br /> wheflrer specload herein or not. The granting of a permd does notp resume fo glue aufh0nfy to <br /> violate or cancel the pprovisions of any oflrer state or local law regulating construction or fho <br /> perlorrnance o/construcflon. That 1 am euthodzed by the owner of this property to perform the <br /> work for which application/s made and 1 comply with the Slate Contactors Law 18.27 RCW end <br /> 296.200 WAC. <br /> 4/i�� .'H <br /> Signature Date <br />