Laserfiche WebLink
E�LECTRi�AL PERMIT APPLICATI�N <br />CITY OF EVEl�ETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everetlwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />, ;, <br />r- l� (�;U-L1� c� l(� r"\ �'�t'.�i _ <br />PROJECT ADDRESS�( <br />Ovmer <br />Tenanl <br />Mail Address <br />Mail Address <br />City <br />City <br />� - a-6-o 7 <br />�-�0 7 0 /--�d z <br />;rl �B�L� I 4�5 <br />StalG2ip <br />State/Zip <br />Phone <br />Phone <br />i=11 � �;c.a Sc�, 1 UQ.� �.i.� 5��1�� ��-►�= �� �, � e���+ ; w+� �'�� � �� 7 ��� � <br />EleclricalCOntr3ct0� MallAddress City SWte/Zip Phone <br />n u -r}=5���r-�r3 <br />State License Number <br />Proposed Use of Buiiding <br />Desuiption of Work to Be Done: <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 ho�eby certity fhat I have iead <br />corroct. All provisions olla�vs a <br />whe(hor spea(ed horem or nof. <br />violato or cancol fho provisions <br />P o�k forawhich a p6cahon�is m� <br />296.200 WAC. <br />this applica(ion and <br />Signaturo Dale <br />��� n;�-.�%�i <br />Contract Price of Work <br />�c�-H SZr1�-( c, <br />Conlad Person (Plan Review) <br />and <br />to <br />and <br />FEE <br />C�7o�-I�Z <br />