Laserfiche WebLink
ELECTRlCAL PEkM�T APPLICATION <br />CITY �F EVERE:TT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />Sob st ��r,�.�r�R� E�t�- <br />PROJECT ADQRESS <br />PFLveAer �ftperke,S 18TS Gec,furY �r.rk t soo Los.{��e-!er Lc� 9'On�7 <br />Owner Mail Address City State2ip Phone <br />Ewre s f Co!lra� 9D L SE �v� �f ,�ca� G[ u�4.Y t(K,��i' LtJc` <br />Tenant MailAddress Cily Slata2lp Phone <br />F��s rn—u� —A�C—on 5►�N �utfe�ts 7 K00 �{Guc�r sort Q,cc� C✓Gnek' Wh. 4p3o� YZS• 71� f'P� <br />ElectricafConlrac;or MallAddress Ciry State2ip Phone <br />$errl► ,i%C' D 7 7G w� �'�� <br />Stale L�nse Number Contract Price of Work <br />Eel �N' a.t; o�,.. <br />Proposed Use of Bullding <br />t�.�u/ �.e.�,� � <br />Contact Person (Plan Review) <br />Description of Work lo Be Done: GDYi/l.t�i� 4�K�Sf'�i1Q P� c•�er ((� ��M'1 r OJ- � NS7�4�� <br />PJOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEVJAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certify fhat 1 have read <br />correct. All provisions o(/aws s <br />wheth�r specified herein or not. <br />violste or esncel the provisions <br />pe�formance o(construclion. T <br />vorfc for which application is mt <br />296.200 INAC. <br />fhls applicafion and <br />— Si�naWre Date <br />9 to be true and <br />completed <br />ie aufhonty to <br />tion or the <br />o pedomt the <br />8.27 RCW and <br />FEE <br />�"�ZC L -v � <br />