Laserfiche WebLink
Nov 21 2011 3:50PM Basch Etecfic ?nc 4253778977 <br />� <br />page 1 <br />� <br />ELECTRICAL PERMIT APPLtCATION <br />CITY OF EVERETT PERMIT SERViCES <br />3200 CEDAR STREET, EVERETT, WA 98201 �� �-�a- // <br />425-257-8810 - FAX425-257-8857-www.everettwa.org �11���.,�#1L <br />.T <br />APPLICATIONS ARE ACCEPTED FROM 8 AIIA TO 4 PM - DEBIT d� CREDIT CARDS ARE NOT ACCEPTED <br />SS� Co �-o� 5� <br />PRO.IECT ADDRE35 <br />�� <br />owner <br />TeneM <br />Contrador <br />Meil Addreas <br />MaX AdArest <br />.TiJG � �o � <br />Mau namea, <br />�t75C,Et�I-9g'�Ql-' <br />State Llcense Numhar <br />N�. FQ— <br />Proposed Uae ot Building <br />rr, w�t , g 8 20 <br />CHy <br />Clty <br />t�. ST�evzNS,w� <br />City <br />DesalpHon oi Wnrk to Bo Dono: v�� �%�i�l.� I�i.PL-� i�}}��E <br />NOTE; W�RING IN NON-DWELL►NGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />�ITY OF EVERE�'P LOCAL SALES TAX CODE IS 3105 <br />z�-3o3. tl zl <br />StridZtp <br />S4te/Zip <br />Phone <br />Phonp <br />bG�( c�l� 397,$7(�: <br />Stafe/7JP Phona <br />�'S3on.`� <br />Contract Prke of Work <br />Contsd Person (Plan Review) <br />qd <br />� <br />FEE <br />�Ill- ��y <br />