Laserfiche WebLink
�k S(.�-1Z' <br />� <br />ELECTRICAL PERMI� APPLICATI�N <br />CITY LF EVERETT PERMIT SERVICES <br />3200 CED�R STREET, EVERETT, WA 98201 /r _�7_�/ <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org �C <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM C Ob��f -�"� <br />�p b -s#� �-lOIU <br />/�1n30 G�verqre�n. w"H �'Ju�.Coliilt i� S'�.� ����. csu i�c SDO <br />PROJECT ADDRE S—� <br />Ownef <br />Electrical Contrador <br />Go/ D.� S55t <br />State License Number <br />� <br />���C�, <br />Proposed Use of Building <br />!`9 �O �t'� e.-� Wc�� <br />/ v <br />- �rr�t/ �ui i�1y i dui; <br />Mail Address Y <br />� <br />Mail Address ��ry <br />„ /9oS 5• Jac�snn i��a��/ <br />Mail Adtlress <br />�- <br />Description of Work to Be Done: �en� <br />NOTE: WIRING IN NON•DWELLiNGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CO�E IS 3105 <br />1 hereby certify that I have read <br />conect. All provisions of laws � <br />whefher speci6ed herein or not. <br />violate or cancel fhe provisions <br />pedormance o/construchon. 1 <br />wortc Ior which app6catio ,!� <br />296.200 WAC. <br />this application and <br />i%a o rmd doesynof <br />City <br />State2ip <br />State/Zip <br />StatelZip <br />Phone <br />Phone <br />� Gv <br />�Sl i 3Z 9 � <br />Phone <br />/S S� 0 <br />Contrad Price of 'Nork <br />/2y /1%-�,.�. <br />Conta erson (Plan Review) <br />e to 6e true and <br />completed <br />ve authonty ta <br />tion ar the <br />�o peAorm tlie <br />1827 RCW and <br />FEE <br />�33.40 <br />