Laserfiche WebLink
L�LECTRiCAL 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 ACCEP7ED FROM 8 AM TO 4 PM <br /> �+�= �c,��,vr, cn.,�Pq�7 <br /> �o0 3 ;,a . �-w�,,ac 2a�J , aw6 40-scF <br /> PROJECTADDRESS <br /> iH� '�,N� �HPYWY P.o g�„ 3�-0� n,��a4 ��,;-� wn y8�24. <br /> Owner Mail Address City Slaterip Phone <br /> Tenant Mail Address City State2ip phppy <br /> C�411�tM'Flowk Pd�CiC Wr_ IlaCll 15 +Si JU N�U(3J'2Y�1 �ri� c1f5D(�� 2$�J�'� �,SniS <br /> Electncil Contractor MaillWtlress Ciry Slale2lp p��e ' <br /> �-1+�4 r,�P �i o � � �'<- �r 3 3 (�o c� <br /> State License Number Contract Price of Work <br /> e�na �E,�-,�T Ba�o� - o-zz_ <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Di3Scnp�ion uf�Plaik io Uc U��n,� _ �GNOOiT j �12'fi FM- SL['NI (�oWN?Y`7 CYLFEr1C � <br /> _ _'_'_ '___'.—_'___ _____'___ I <br /> NQTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br /> BE IN RACEWAYS, MC OR AC CABIE. FEE ��0 4 <br /> �:I iY OF EVERETT LOCAL SALES TAX CODE IS J705 <br /> r l���r��hv r,orh/y tlmf I havc road and examined(his appGcaGon and Hnow lho same tn bo Wo and <br /> ��uiiec( AIl p�oviswns o//aws and ordmar,cas yoverning fhis typa o/u-ork wil!bo carnple(ed <br /> whother specihed heie�n or not. Tho gran(ing o/a pomut dons notp iesumo fo give aulhonty fo <br /> wo�afe oi cancel fhe provisions o!any ofhor sfato or/ocal law ier�ulahng consfruchon or the <br /> wodr%o wh�h,��pl s�a(or��s ma�o and�l c�mplyodt�Iho Sf.(e Cuof acPisP a�v 18 27 RCW and <br /> zss zooW�� -,�,; <br /> � �� - i ,� <br /> a. � . 2 ` � <br /> Signaturc Date <br />