Laserfiche WebLink
ELECTRICAL PERMIT APPLIC.�4TION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />42�-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />� 22�6 C�ra�rd �IvQ. <br />PROJECT ADDRESS <br />C41f�5 /t����1 '%LZ`G b/'an�' AVf. F✓2VP� �n//% `%�[a� Nzl'$'iJ'13ty <br />Ownor Mail Address City Stale/Zip Phone <br />Tenant <br />Electrical Conlractor <br />Stale License Number <br />Proposed Use of Building <br />Mail Address <br />Maii Address <br />City <br />Clly <br />StalelZip <br />Slale2ip <br />Contract Price of Work <br />Conlact Person (Plan Review) <br />Description af Work lo Bo Dono: ��T��,; � �+i�ir,�a:v �l ?� .� trr� /;�� � f <br />NOTE; WIRING IN NON-�WFLLINGS IS REQUIRED TO <br />BE IN RACE4VAY'S, MC OR AC CABLE. <br />CITY OF EVERE iT LOCAL SALES TAX CODE IS 3705 <br />/ he�e6y certily fliaf I liave read <br />correct All provislons o( laws a <br />n�he(herspec�fied herein ornot. <br />vielate or cancef the provisions <br />pe�fomiance o/construction. L <br />�vork /or �rhich applicotion is ma <br />296.200 WAC. <br />rhis <br />comply <br />iow the <br />work w <br />e to be truo and <br />cornpleteci <br />ve authonty fo <br />fion orthe <br />'o peAom� tho <br />8.27 RCW and <br />-..� - yi�Yi��- <br />FEE <br />Phone <br />Phone <br />�lva� —i45 <br />