Laserfiche WebLink
( <br />( <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 )�-% `(/ <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org �� ��� � `. � � � <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />�-� � �- � rzA �T Q��vC <br />PROJECT ADDRESS <br />R.C- i„iLS1 <br />Tenant <br />rti-i�i� c <br />Electrical Contrador <br />S`� �- <br />Mail Addross <br />Mail Address <br />Malt Address <br />I-�zTEK`r��1r�� �� <br />Slale License Number <br />'�%SIZL,.r� r��._ r�iVlal7F� � <br />Proposed Use of Bufldfng <br />�,-. <br />Gty <br />Gty <br />�—` <br />Gty <br />�2s � <br />355-(0� <br />rno�a <br />Shate/Zip <br />�j814g <br />� � �'1 �'7i� � r--- <br />C�or traot rfoe or work <br />Contact Person (Plan Review) <br />Descriplion of Work lo Be Done: �F� MC ��—IG3}--ET I�.1G ��D L1Z_�. <br />�L-I'TCF;G—tJ O�( F'7-� � �I G i-1 i �til � <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />/ <br />� <br />1 have read and exem7ned th(s <br />know the same fo be tn:e and <br />o/ work will be completed <br />Presume fo plve a�'hority to <br />tlno consfmctlon or fhe <br />FEE <br />.� <br />Phone <br />anJ � <br />�/Dl - D� <br />