Laserfiche WebLink
06/01/2012 FRI 10:40 FAX 425 9Pa E501 Sea -Copy <br />0002/002 <br />PROJECT ADDRESS <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—%",A%.eveietiv/a.oig <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />C uC1-r.x � <br />City <br />Tenant MellAddress) CRY <br />ill-et.l .SA 4-yac.li :�Lr�,l (_; aJ'14L5'-1 <br />Flactdcal Contractor Mail Address City <br />r1LI_tLSV 5136 <br />Slate License Number <br />Proposed Use of Building <br />Square Footage (If residential new construction, remodel oraddilbn) <br />StatelZip <br />(':iQbl {r1�5)HSti CH ttn <br />State/Zip Prone <br />statelZip Phan <br />`1 1 r 3cy� .49 <br />Contract Price of Work <br />CII r wL S 1 Li.F') <br />Contact Person (Plan Review) <br />Description of Work to Be Done: amrx'l *> I u o UO l� e ("� C ry -SW& am " AckoJ <br />4-(> -e",SI i r-,,R 19-T IVI <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO <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 applic. <br />(% 1 1. / )-- <br />FEE <br />fobetrue ad and r I CJ1V� —00 <br />ampleted <br />I authority fo <br />