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 V � 3 <br /> PROJECT ADDRESS <br /> Owner Mall ' 'dress City Stalalzip Phone <br /> Tenant Mail Address City Statelzip Phone <br /> �r O� .U' GC' • L) IS 1- 2oD <br /> Electrical Co actor Mail Address CI y State/Z'o Phone <br /> (J�Lp _. <br /> Slalo Licoris Number Contract Orice of Work <br /> r 1 <br /> r <br /> T <br /> Proposed Use I <br /> wilding Contact Person An iew) <br /> O <br /> Description of Work to Bo Done: I n S 1Lrt /� R/�rn_� h E 7 o zryf v <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 certify that I have read and examined this npplicafion and know(lie some to be fine and <br /> correct. All provisions of laws and ordinances governing this typo of work will be completed <br /> whether specified herein or riot. The granting of a permit does not presume to give authority to <br /> violate or cancel theprovisions of any other state or local law regulating construction or fire <br /> m <br /> perfomnce of conslmction. That Ion)authorized by file owner of this property to perform the <br /> work for whi application is made and 1 c nply with the State Contractors Law 18.27 RCA/and <br /> 296.200 W <br /> ( <br /> L% - SI nature Date <br />