Laserfiche WebLink
�LECTRICAL PEhMIT /aPPLIGATiON <br />CITY OF EVERETT PERMIT SERViCES <br />3200 CEDAR STREET, EVERGTT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - �w�w.everettwa.org <br />APPLICA'fIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />,ii� ; �, � , <br />PROJECT ADDRESS <br />``u,='.:ci <br />Owner <br />� -- ._IA <br />� . �.? <br />Mail Address <br />City <br />State/Zip <br />Phone <br />_�taL1 ��� <br />� IL.I, �.� i1i e e: C� ��r��['•�'!-��1.��, tV,� UJ',\(�-\ �IS'.,,� ? 16%V �_-� I' l%i!�`'• <br />� � � y . . � I . . . <br />— ' Cil StatelZip Phone <br />Tenant Mail Address Y <br />� 1 �C V L�'�2 P���� w� �2�= �.:� <br />�J� l i��✓ � I 1 lc. <br />Eleclrical Contractor Mail Address Qly SlalelZip Phone <br />r, � , <br />i>,)i���rr�t�l( � r_; <br />Stale License Number <br />F y' Ll�' ` ��", � <br />Proposed Use of Building <br />jc.�.0 _ <br />Contracl Price of Work <br />Contact Person (Plan Revie�v) <br />Description of Work l0 6e Done: � . < < � , . � ��'�� � ( � �' . . (,'' �l' � .' C�..`. r ,,,-� ; — — <br />J <br />NOTE: W IRING IfJ NON-DW ELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CAELE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certi(y thaf 1 have read an� <br />correcL All prowsions o( laws and <br />u�hetherspecifiedhereinornoL TI <br />violate or cancel lhe provisions o�+ <br />perlormance oI construclion. That <br />�rorl< lor which application is made <br />29G.200 WAC. <br />this <br />a <br />know the <br />o( work w <br />� I-.'- , I I I 1�: <br />- -� �; �� t �-_ � <br />----- . n:,�a <br />FEE <br />� fo be true and ��` � 1�- v� � <br />completed <br />�e authnnly to <br />lion or the <br />o perfunn ihe <br />8.27 RC W and <br />