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 /> 120 tot-- 3- E 6q 12) <br /> PROJECT ADDRESS <br /> 6eaA kc& Comnnuiv-t 5e4fI 1.,(A .(781-06- <br /> Owner Mail Address City State/Zip Phone <br /> kar j%ereN'eitwc 020 I opt ,<erd itth. <br /> Tenant Mail Address City State/Zip Phone <br /> IL( N �, Coot, go. Sok 3205" Kirk k 4 9em3 1126-8Z(-113 <br /> Electrical Contra for Mail Address City State/Zip Phone <br /> cpm of p© <br /> State License Number Contract Price of Work <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Square Footage(If residential new construction, remodel or addition) <br /> Description of Work to Be Done: 0t S(Wed- 2 1----64-04-s and Irpl n/1i1 e . 4r) TI CL,t) <br /> roof- f 6e44' <br /> 9 / f $ ail relo r4 ex 571-J 6e11soTS <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 /> I hereby certify that I have read and examined this application and know the same to be true and <br /> correct. All provisions of laws and ordinances governing this type of work will be completed <br /> whether specified herein or not. The granting of a permit does not presume to give authority to ,. ( -30, - <br /> violate or cancel the provisions of any other state or local law regulating construction or the <br /> performance of construction. That I am authorized by the owner of this property 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 /> 02- <br /> Signat Date <br />