Laserfiche WebLink
7i/?7/2009 15:38 PA% 3Fi06u39435 GAIiPIN E\"I' INC <br />C�ooliooi <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT 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 />�o��`%�% �d�. --� <br />PROJECTADDRiSS <br />� <br />Ovmer e�`�� Ma'IAddress <br />Tenant r MallAdd�os6 <br />Eledrical Coniractor Moil nddress <br />/�,�,2 //l�.�s'9/�'�r <br />Sta Lixnse Numb�r <br />T��P.Q/i//, ia <br />Propoaed Use of Buf ding <br />Description of Work W Be Dana: _� <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RA EWAYS, MC OR AC CABLE. <br />CITY OF EVERETT OCAL SALES TAX CODE IS 3106 <br />1 heroby cerfih� that / eqe reod end examined fhis application, and <br />City <br />Clty <br />Stnte/Zlp <br />StateRlp rnme <br />!,� ��0�3— <br />.�',Pr37^l 9�/,3_� <br />City � StalelZip Phone <br />.sr�SG� <br />co���c a�� or wo� <br />��r�Gt+Ya � <br />Contad Person (Plan Raview) <br />and <br />fo <br />he <br />and <br />FEE <br />�;�i�� �- - � !y <br />