Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br />CITY O� EVERETT PERMIT SERVICES <br />32D0 CEDAR STREET, EVERETi', WA 98201 <br />425-257-8&10 - FAX425•25�-88S7-v✓�vw.everettwa.org <br />APPLtCATIONS ARE ACCEPTED FROM II AM TO 4 PM <br />i :3 � S �-v�?� ��.I r� a--l��� <br />PROJECT AUURESS <br />iv�--i -� 3 <br />Clj�—I�7 <br />�S�r� a� ��.Es 9Sc� �—e�c+�a w� ��rwA 9e��f <br />Cwner P.7ail Adtlress Ciry state/zip Phone <br />iC'S L\."3J✓� <br />TenaN Li011ACCf96b Cdy SfOG:%Z�� Pnone <br />-pe? a"L�L-�-«-- poPJ•K..(oa3 ��1'�fou- �suJc 4Bo�4t `���-`�kB� - Sl(� <br />ElottfiCAl COnif3do�.. . MxlAddresa . ._ .. .. . _.. _. _Cl;y Sfate/ZIP . ..._ Phone <br />7'vi>E�P S�d 1SS <br />Slata License Number <br />Ce rti.�--' [����- <br />Proposod Usa of Bullding <br />Square Footagv Qf resltlenusl new construction, remodel or edditlon) <br />f �oG.'� <br />Contract Price of Work <br />��� ��� <br />Contect Porson (Plan Review) <br />Desaiption of Work to Do Dona� _(t�D.+F-� � N��Tm ^�S `f� ��-���-� �'��Ta� <br />V <br />NOTE: VNRING IN NC)N-DWELLINGS IS REQUIRFD TO <br />BE IN RACEWAYS, MC OR AC CABIE . <br />CITY �F EVERETT LOCAL SALES TAX CODE IS 310.5 <br />u�� <br />read and oxamined tbis ep�iicetion anU <br />FEE <br />C�3 � <br />�e�oAeLueand l,I�OQ" `�'� <br />r complotod !- L <br />ive authonty to <br />:(1on orlho <br />to perforn the <br />1 tt.27 RCW 3nd <br />..3o.�.oi3 <br />