Laserfiche WebLink
�LECTRI�AL PE�tMIT 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 � I� ��_Cj� <br />APPLICATIONS ARE ACC!•PTED FROM 8 AM TO 4 PM <br />�� � � ��� � <br />PROJECT ADDRESS <br />7enant <br />Eleclrical Conlraclor <br />'p� r I�� U �, <br />Maii Address <br />Mall Address <br />KYKV,cr_.�a�o� N5� w� <br />�T �fG , Mail Address <br />All CU�� 9� 1� G _ <br />Sta�e License Numbor <br />Praposed Use ol8uilding <br />Description o( Work to Bo Dono: <br />NOTE: WIRING IN NON-DW ELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />�-� l,�/. r�: 9��v3 <br />Gty Slale/Zip <br />Ci�y <br />Gty <br />n <br />State/Zlp <br />�.A. y�O1 Z <br />SWIu/Zlp <br />Z�v <br />'� S D <br />Phone <br />Ph ne <br />y2�_ <br />Phone <br />//i ��� w - <br />Contract Pdce o( Work <br />Contact Ferson (Plan Review) <br />S <br />FEE <br />�II O�_O� <br />