Laserfiche WebLink
RPR-29-2011 19:47 From: <br />� <br />� <br />To:2578857 <br />ELECTRICAL PERMIT APPLICATION <br />�'' CITY OF EVERETT PF_{�MIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />, 425-257-8810 - FAX 425-257•8857 — wwv✓,everettwa,org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />� � ( ���CtL�U.)C(�,'r <br />PROJECT ADDRESS �— <br />Owner Matl Add�osa <br />/' � <br />� <br />, <br />Tone h� MailAddross <br />�) � UCJ:.�T1 lL �+�. j�' <br />EleciricalContrflClOr MallAddrass <br />�`����I�`1C�1 � Z <br />5tate Licensc Number <br />Proposc�l.ld se~o[ Building <br />Description of Work to Be �one: �i%� V � l' <br />City <br />Clly <br />S�--I�l� J�(' 11 <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIREDTO <br />BE IN RAC[WAYS, MC OR AC CABIE. <br />CITY Of EVEREY7' LOCAL SALES TAX CO�E IS 3105 <br />SlalelZip <br />SfaldZlp <br />Paee:l�l <br />Phui¢ <br />157-�6/ <br />�,LS Pnorm <br />Clty � Slato/Zlp Phone <br />� �t � <br />Conhact Price of Work <br />� �uILP.c/' <br />Conlnci Pe;son {Plan Roviow) <br />FEE'� <br />read and examMed this Ap�lication and know fho serne t0 be frue and � I� L� —�(� <br />nvs ond ordinancos povern�ng thls type ol work wilf bo complefed <br />r not The grantlnp of a pormd does not resun�e to give authonty fo <br />ionsofenyo(hersta(oetlotall�W��eguPlingcansWctionor(he � <br />n. That I am aufhorized by the owner ollhis roperiy fo ppr/orm 1he <br />�s mnde and 1 compty �rifh �he Sfa(e Contr�c�rs Caw 18.27 RCW and <br />