Laserfiche WebLink
ELE�TRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />�- ( .' '? c, �; � � 425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />, <br />� , _. <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />�h//(� DC`C-�� �./��C'!U i�i2 ��%� <br />PROJECT ADDRESS <br />C�/Rl_� i/i�/iC;J <br />OWf1Bf <br />Tenant <br />MaP AOdross <br />Mall Aadfoss <br />f\nv/an(JAC_!c CCLC 7!ilC..!-NG <br />ElecMcal Conlrac�or Man Atldross <br />An�Art �.1 �i 1 Z 19 i3 <br />State License Number <br />Proposed Use of Building <br />City <br />CMy <br />//�Y/C �/E /G4'� <br />City <br />'i`��'LL._� �fL�-Z5: <br />StalulZip P�ona <br />SWIaIZip Phona <br />'f1S"-ZS,'-';i71. <br />¢ 22. y /V12Kcq�vJ c...'�r %St'_ �I <br />Stata/Zip Phona <br />i� �"�' ''.� <br />ConUad Price of Work <br />Contacl Person (Pian Review) <br />DoscnplionofWorktoBeDone: 12rpl..;c���r�c:�i- 7cr nn�p P.var-� /r+c.�t.;� Sn��1�._ll���ca <.( <br />I I�:•.r-. �"�tv� IOh AY.r�I `-�ivl����AAit.1_. No�� iJ�ii C12C.J�T ]'�—:--'�"='-a=_� _1n-�2'.��t.{'�c• <br />c� 1 Zc'�` /: Lc•v .����.c.v."�- i_n-.k.��c:� �c.. c�� Z 15A / ��ov ��r'<-ct��+.,c-�r' <br />NOTE: WIRING IN NON•DWELLINGS IS REQUIR[D TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TA% CODE IS 1105 <br />1 hereby cetlily that 1 have read and examined IM1is applir. <br />conecL AII nmvisions o(laws and orclin�nces 9ow_mmg <br />ISlT7 <br />alion and know fhe wme (o be Irue and <br />this fype o! work wifl be completad <br />Aoes no( presume to grve au(honty (o <br />law regulafirg consfrvc(an or fhe <br />� owner ollhis property fo perfdm fhe <br />S(afe Confrectors Law 18.27 RCW and <br />FEE <br />�����,- Oa.(7 <br />