301 72ND ST SE 2018-01-02 MF Import

ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 425-257-8810 - FAX 425-257-8857 — www.everettwa.org APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED PROJECT ADDRESS Owner Mail Address City State/Zip Phone Tenant Mail Address city State/Zip Phone Electrical Contractor Mail Address City State/Zip Phone State License Number Contract Price of Work Proposed Use of Building Contact Person (Plan Review) I Description of Work to Be Done: NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO FEE BE IN RACEWAYS, MC OR AC CABLE. CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be completed whether specified herein or not. The granting of a permit does not resume to give authonty to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. That 1 am authorized by the owner of this property to perform the work for which app gtion is made and I comply with the State Contractors Law 18.27 RCA/ and 296,200 1 01 ignatureSDate