Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-881 D- FAX 425-257-8857 — www.evereltwa.ag � �- a s�o� <br />APPLICATIONS ARE ACCEPTED FROM ! AM TO 4 PM �� g�� �� <br />�'a' �� s��fi�,1��D ,l�l;�. <br />PROJECT ADDRESS <br />Owr�er <br />Tenant <br />`,�!'e � l <br />�il ,a��! i 7 i <br />�u naeress <br />MaN Address <br />�%�. �'� s - <br />;/.�.� fr�- ��>!i�/ /t� i'6?.-i <br />� <br />Ctly <br />EleEhical Conhador dAaN Addreu Clty <br />�si,�'�„-�: �-; �q,�� '�G'�°� <br />State License Number <br />�is�� /�!.',�// <br />ProposeE Use of Building ' <br />�[j ULf_ �L! .�i.s <br />pescripNon of Work to Be Done: ��' �. <br />��%�Cli %� <br />NOTE: VNRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITV OF EVERETT LOCAL SALES TAX CODE IS 1106 <br />1 hereby certily fhat I haw read and examined fhis applici <br />�plkation is mad� <br />��'f � <br />s��zq <br />StaM2ip <br />�J�L %�.:C� <br />S�a�e21p <br />���,� , <br />coMraa Price of Work <br />� <br />�I� �7•js*. <br />Pla�b <br />wc'C-: �✓ -t�;}FJ <br />R�one <br />Contaq Person (Plan Review) <br />/!• �.�, l/i'Jf�'C�_>>� <br />and krrow fhe same fo be frue and <br />�pe d work will be complefed <br />notp�esume to grve euthorify to <br />agulafing consfn�ction or tlre <br />er ol this proparty fo peAam fhe <br />ConfracYors Law 18.27 RCW and <br />��t/�<;� <br />FEE <br />��v t � - � 3v <br />