Laserfiche WebLink
Dec 16 10 11:42a Microsofl <br />2538635554 p.3 <br />ELECTRICAL PEFtMIT APPLII:�'1TION <br />CITY OF EVERETT /�ERMIT SERVICES <br />3200 CEDAR STREET, EVERETi, WA 68201 <br />425-257-8810 - FAX A25-;G57-8857 — www.everettwa.org <br />AF�PLiCATIONS ARE ACC�cPTED FRON19 AM TO d PM <br />Eve�c�� UJa� �lea.�.u7}1.�t,g2aF <br />PROJECT ADDRESS <br />O��mer <br />Tenant <br />Mail PJdress <br />Address <br />�Y <br />�,r.�.� �S abave <br />Gly <br />SfetdZip <br />SroEelZip <br />/ 2--/6--�0 <br />�io�z—i°3 <br />Phone <br />Plfa�e <br />,'��E'rtZo ELE�T2t� L�� rss�� sE z�'� P� `�3B i3�il_ w�•99oaS <br />Eletlriral Contrador Meil Address CitY StatelZ�P Pho�° <br />MEr2oec �vi o r� <br />State L'icense Number <br />Proposed Use ot Building <br />pescriplbn of Work to Be Oone: <br />Rs�+�^'� `���w � <br />A,-�l h-sI'S a-v.� Z <br />lb <br />NO'TE: WIRING IN NON-DWELLINGS IS REQUIREO TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY UF EVERETT IOCAL SALES TAX COaE IS 3lOS <br />� <br />� ��Q �J <br />� <br />Contract Price of Work <br />C-��z� Si+(1J <br />Contaci Person (Plan Revll�v) <br />� <br />/ �� <br />