Laserfiche WebLink
0 <br />ELECTRICA <br />CITY OF EVE <br />3200 CEDAR <br />425-257-8810 - F, <br />APPLICATIONS A <br />PERMIT APPLICATION <br />=TT PERMIT SERVICES <br />REET, EVERETT, VJA 98201 <br />425-257-8857 — wevw.everettwa.org <br />G � 6 -D,G <br />ACCEPTED FROM 8 AM TO 4 PM �.p6o6 -Oy/ <br />��'�� �oNoJ+KJ (�/aN(� I <br />—���-� <br />PROJECT ADDRESS <br />-Z-i h S1' �A 2TN � (1-S <br />Owner Mall ACdress � City <br />Tenant Mali Address <br />�,} �— l (!-Oc �1.� [Ti (l-� C� `loi�j'L 1 <br />Electrical Contraclor <br />l3 �"CI� �%t, <br />Mail Address <br />CI (D � N'C� <br />Description of Work to 8a Done: <br />NOTE: WIRING IN NON-DWELLINGS IS REQI <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS <br />1 hereby certr(y fhat l have read ar.d examined fhis a <br />conect. All provisions o�laws and ordinances gove <br />+plicafion is rnade and 1 a <br />��..._ <br />fL� 1� C- <br />Slate2p <br />State2lp <br />��2' <br />State/Zip <br />Contract Price of Work <br />ContactPerson (Plan Review) <br />.- <br />D C�'�r.�a i <br />TO FEE <br />and kno�v the s3me !o be true and <br />ype of work �vilf be compfe(ed <br />� nof presume to c�ive authority to <br />re�ulefing construclion or tho <br />er o(lhls proporty fo perform the <br />� Contractors Law 18.27 RCW and <br />!1 <br />�,;��C� �-�� <br />�� � <br />Phone <br />PhonC <br />Phone <br />I'd 90Ti L59 09E p�o,}pe�q s[ne�� e0i�L0 90 90 ��C <br />