Laserfiche WebLink
Se�. 22. 2011 11:§OAM <br />No. 0197 P. 2 <br />ELECTRICAL PERMIT APPLICATION <br />CITY �� EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8s10 - FAX 425-257-8857 --www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />��J�1 �'SQ <br />PROJECT ADDRESS <br />Owner / <br />�4 <br />— .. <br />M7il Address <br />. <br />Tenent MeilAddres� <br />�► rn I�eo�.�i nq I v�c, I�I� road � <br />ElectricalConlraclor MailAddress <br />�'11N�M�q�li�q <br />Stete License Number <br />Propo9etl Use ot Building <br />� �%� <br />Dascription oF Work to Be Done: � '"' <br />l�1� 1 " � <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />y� IN RAGEWAYS, MC OR AC CABLE . <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />Gily <br />Ciry <br />St�IelZlp <br />Stete�Zip <br />PhOne <br />Phane <br />?Je,��t1' WP�ag?01 �I25 z591�(�(�b <br />Cily StalelZlp Phone <br />�t2gq,�3 <br />Contract Price ot Work <br />Contact Person (Plan Review) <br />1 T � <br />F�� <br />,d -��1(�—ly3 <br />fl <br />