Laserfiche WebLink
t <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — wvvo everettwa org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />c' '67� 5- -,Set/ lob <br />PROJECT ADDRESS <br />_ / , (/• /l t 1 t: /t/L, L ��c>ycw— . !�1/�i � ,,J 1 <br />Owner Mail Address City State/Zip <br />if .I-rtern• 8�.y <br />Tenant Mail Address City <br />Electrical Contractor r Mail Address City <br />State License Number <br />/I /a u.,- /1, c.t1tG <br />Proposed Otto of 9uilding <br />Description of Work to Be Done: L- c" L <br />NOTE WIRING IN NON -DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />0 <br />State/Zip <br />State/Zip <br />- 050 `¢ <br />Contract Price of work / <br />Contact Person (Plan Review) <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certify that I have rend and examined This application and know the same to be true and <br />coned. All provisions of laws and ordinances goveming this type of work will be completed <br />whether spewed heroin or not. TThe granting of a permit does not presume to give authority to <br />violate or cancel the provisions of any other state or local law regulating construction or the <br />performance of constnretion. That I am authorized by the owner of this prmperty to perform the <br />work for which application is made and I comply with the State Contractors Law 18.27 RCW and <br />296.200 WAC. <br />FEE <br />Phone <br />Phone <br />Phone <br />I2'- <br />/ <br />