Laserfiche WebLink
Jun 20 07 11:12a Fresh Air Co., Inc. 503-638-6162 p.1 <br />; �1�� <br />ELECTRICAL PERlVIIT APPLlCATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — wv�nv.everettwa.org <br />1 oa �� <br />PROJECT ADDRESS <br />Ownef <br />� � <br />Tenant <br />-F��� <br />ElectrEcal Contraclor <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />f4EllItFC['i� <br />Idaii /itltlress <br />h7ail ACdress <br />��.6A �2�s/��4Gon �c1" <br />State License Numbr.r <br />2 (� <br />Proposetl Use of Building <br />Description of Work lo Be Oone: i�� ` <br />9F- n . � v� . ,. _ il � <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE I N RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERET7 LOCAL SAL'cS TAX CODE IS 3105 <br />! hembvi certify fhat 1 have read snd e.raminod fhis applice <br />Ciry <br />City <br />� �� �.�p.. Slate/Zfp <br />'�i�'�""y` ... <br />Slate/Zip <br />� <br />com� P��orwo�c <br />Conlact Person (Plan Review) <br />FEE <br />3 to be true and <br />completed <br />re a uthonty to <br />!ion or the <br />o peAorm �he <br />8.27 P.CLV and <br />�c7oCo-(U5 <br />Phone <br />�52'-S �C <br />Phore <br />���� <br />?hone <br />