Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-25'-8810 - FAX 425-257-8857 — tivew.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM ��_ a y� �' <br />� 41S �-1-rM,u�5ati1 �� <br />PROJECT ADDRESS <br />Trr�c� � �Svc,c.�—r�s <br />Owner <br />bv�,-r v <br />Tenanl <br />Mail Address <br />Adail Address <br />Su <br />�U'fJ�C-� �-v4 S� S - co (7� <br />9 8�3 <br />Cily <br />Ciry <br />tizs-,S�'7=�78 7 <br />SA-wt�whwt,� s W 12� � i �7 <br />Slate/Zi�p-,�� p.,,��, .A-phone <br />SS��-'CK-s'1 � �A.ATc <br />�a�.,� � 9s�o�� <br />Stale/Zip <br />�A-2.�( �� L C�Z�n'Ll.c. Ir-t� c� ZS I b �-Pr �l4'. sfi .��c�vcx�t' �-�.�^1 `18Lo1 <br />EleclriCal Conlractor htail Address Ciry State2ip Phone <br />�t 2.i"`zs' 2 -�c 78 9 <br />� �R 2J��Z `� S d $ �{ �,�/c �� � <br />Slale License Nurn�er Contracl Pricb of Work <br />��� �. 6 W�,s <br />Proposed Use of Building <br />Conlacl Person (Plan Review) <br />Descriplion of Work la Be Done: lNSilk/.t . ih Y{-i n.) .S �2-�%< <<"r �+'�� 5��u-' � <br />Co �� , 3 N S��uA-i'� n�J �Y' uG �+-,� � P w 2�,Lvr- _ <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 />/ have read <br />1 <br />fhis appli�ation and know the sarne to be true and <br />governmg fhis f}�pe o/ tvork will be completed <br />�la pernut does not msunte fo give authonty to <br />31e or Ioca/law reguPting censtrtiction or fhe <br />ized by fhe cwner ol ihis properfy fo peiform fhe <br />ly tvifh the Stafe Confractors Laa� 18.27 RCIN and <br />FEE <br />���D�-���7 <br />