Laserfiche WebLink
FEB-'d-2C�U4 06�21R FPOf9:F'F'OFESSIONnL ELECTRI 36� 435 118� T0:4252578257 P.1'1 <br />ELE�TRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT �ERVICES <br />3200 CEDAR STREET, EVERETf, WA �J8201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACC[PTED FROM 8 AM TO 4 PM <br />C�� i L�� �.,,-� ��' <br />(o z-o---�,�/. `��-�-a-..�.._..�.. <br />PROJECT ADDRESS <br />'�✓!7�`07U � % � -- <br />OWnor MallAddross Clty Stato2lp Phone <br />�/� J_ <br />,(3C'S � <br />Tenanl <br />Mall Addrass <br />Clly <br />Stat�+/Zlp <br />Phono <br />�I��IS� /�OraG � y�t'GYI'�L. _!O/�. __pZ��r'1 �/I•��fr.-. LiLI _ <br />Eleclrical ConUaclor Mall Addross City Slate2lp Phone <br />/z U ".d'.� �O 7 7 ,r'.4 <br />Slate Llconse Numbor <br />%/.-�P S'%o�' <br />Proposed Uso �( Bullding <br />Descdptlon of Work to Bo Dono: <br />L��� �✓ <br />CoNract Pdce of Work <br />Contact Ferson (Plan Rovlew) <br />� � <br />�/ �.' . J• ,(' � .i�U.. �< .r 1j <br />�I /'G (. J '� Tu !/ .� _ �7' / J--� � .e <br />�J/<� TU ti,t%li CIQ�:�T -� �/�iL= SKGIu f%G% l�l'//-�Gl�v_D �C7 <br />NOT[: WIRING IN NON-DWELLINGS IS REQUIRED TO %`��S /�C!�'—r' �� FEE <br />BE IN RACEWAYS, MC OR AC CABLE. ��� �r <br />CITY OP EV@RETT LOCAL SALES TAX CODE IS 3105 <br />I hc,roDy curtily lhat I have reod <br />cormcf. All provlslons o/(aws e <br />�vhothor speclllod hereln or r;of. <br />v�olnfo orcancol ff�a provlslwu <br />por/ormnnco of cons(ructlon. 7� <br />�vorlr /or u�hlch appl/catlon Is mt <br />29G.2U0 WAC. <br />(hls <br />� �!�lio.2i2�� i�tc� <br />r`/f %fl� ����� <br />i and knowlho same to b� Ir <br />CCc� �� <br />.�.fili� �� �U[.. _ 13 9 <br />� end ., /� /J�--c <br />ty to �� <br />((ICIIO/l O'� (IIA <br />fy to porrorm ihe <br />iv 7H.27 RCW and <br />7� �. CXr <br />�3�..,1,� d�i'�-,� � <br />J� /OZ�( //oL <br />v <br />