Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT. WA 98201 II —I <br />425257-8810 - FAX425-257.8857-www.evorettwa.org C <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />/ 7 06 6 2 4ji SST CSC '7c2- o3 <br />PROJECT ADDRESS <br />Owner Mall Address City State/Zip Phone <br />tenant Mail Address City Stelinizip Phone <br />Electrical Contractor MadAddruss City StawNp Pl�ne <br />State License Number Contmet Price of Work <br />SF=/Z- <br />Proposed Use of nuilding Contact Person (Plan Review) <br />Description of work to Be Done P� rPl—� C(/U� _FK�J7��Li� r[.-��� (� "L <br />/4A.14 L <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO FEE <br />0[ IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 horuby certify that I have mad and oxamined this application and know the same to be true and <br />correct All pr visions of laws and ordmancos govemnq this type of work wrd be competed <br />wholher spartFled horem or not The granting of a permit does not nrosume to give authority to <br />violate or cancel Me provisions of any other state or local law regu ahng construction er the <br />purformarro of construction That I am a thonzed by the owner of this roporty to perform the <br />work for µ ^rch applieatr It Is made and I comply mth the State Contractors Law 18 27 RCW end <br />296,200 WAG. <br />o7 <br />T-" Date ,-- <br />9Z,1�11 <br />c <br />ZO/ZO 3BVd 008d DOOM U3833NIBN3 6LIPGZ609E 00:01: L00Z/51/11 <br />