Laserfiche WebLink
RPR-30-2012 01:57 From: To:2578857 Paye:l�i <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES 5/ a�/z <br />3200 CEDAR STREET, EVERETT, WA 98201 O. <br />425-257-8810 - FAX 425-257-8857 — www.everetlwa.org � /� (� �.(,S� <br />APPLICATIONS ARE ACCEPTEO FROM 8 AM TO 4 PM <br />%a0 7 �v���� �-1 �Y� <br />PROJECT ADDRESS� <br />. <br />. <br />C��y <br />Stale/Zipf� � <br />Phone <br />Tenant M�II Address City StaielLp Phone <br />� _ 'I I n 'f�, r. _.. i %� 1 t � �,.._.111 i. in /:r.-�..� 'i�.i•, �i r� <br />Eleclrical Conlractnr Mnil Address <br />so�r i P a����'D7 <br />Slate Licensr. Number <br />i���� <br />Propasod Use o uilding <br />Doscriptlon of Work to Be Done: <br />Cily <br />Stale2ip <br />Phonc <br />��/ -'— --- <br />Conlract Price of Work <br />�Qn Sh�r��' <br />Conlacl Person (Plan Review) <br />NOTE: WIRING IN NON-DWELIINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAI. SALES TAX COAE IS 3105 <br />I <br />thls applicalfon end <br />comply <br />— �'"Signature / �I �` � ` ��e <br />�I�- c� � � a5�1 � <br />. ,rw�,�, C�wur�,. G <br />--19c <br />-� !� i ..�� .... ..___..__.��—.__..._.— <br />e to be lrue and <br />completed <br />ve authonry /o <br />tion or the <br />'o peAorm the <br />� a.27 RC W and <br />FEE <br />5r��' <br />�lzo��sl <br />