Laserfiche WebLink
ELECTRICAL PERMIT APPLICATlON <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 ���6 _O � <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />/yaz sE <br />PROJECT ADDRESS <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />E� e ^`�' /LL a ( � l/�c. <br />st���st GGG <br />Owner Mail Ftldress <br />City <br />� Og0/-o76 <br />State2ip Phone <br />s� 6 ���-y 20�'�%/4173 <br />Tenant Mail Address � Cily Stafe/Zip Phone <br />��� Te� l�<<��5�'�� <br />EleclricalContracioi MailAddress <br />P2� r� 2i'� �3 u �-� <br />State License Number <br />%�/��T�-TC Y34 .:TC- <br />Proposed Use of Buiiding <br />City <br />Description of Wor6 to Be Done: C� "'� ^^ G �cr k(� // <br />�� <br />State/Zip <br />,gi (.�j O AC7 <br />Contrect Price of Work <br />Phone <br />�t1,� k Zo6 9 3! y i'Z � <br />Contact Person (Plan Review) <br />OG �- �.e. Yz, � /�a /� c <i �- � �r p !, -t-g , <br />NOTE: `:JIRING 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 />I hereby certi/y that I have read and examined this <br />cor2cL All provisions o/laws and orrlinances gov� <br />whetherspea(iedheieinornoL Thegrantingola <br />violate or canc�l the provisions ol any ofher slafe c <br />peAormanca ol construc(ion. Thal I am aufhonzea <br />work lor which application is made and I comply w� <br />296.200 WAC. <br />N G� e� ///�J i`� a...�^ <br />FEE <br />iow fhe same fo be true and <br />w'ork wifl be completed <br />asume l0 4ive aufhonfV to <br />and � <br />_ / �r1' <br />/� <br />� v <br />� <br />