Laserfiche WebLink
SEP-26-20a8 00:11 From: To:2578857 Paee:i�l <br />� ELECTRICAL PERMIT APPLICATION <br />CITY OF �VERETT PERMiT SERVICES <br />3200 CEDAR S7REET, EVERETT, WA 98201 <br />425-257-8a10 - FAX 425•257-8857 — www.evorettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />_IDZ� I,t�� ��./'in.e �i�� �rr1/'PJ <br />PROJEC7 ADDRESS <br />Owner <br />Mail Addr059 <br />�pn�},-o( Po.cl.�-ic., aa�l %�t,lc� <br />Elocirical CoMraCtor Mail Address <br />II�� �W <br />Clly <br />SoNrTP � �i�l�1�7 <br />State Licensc Numbor „ <br />6 �t`csZ_� lti�a-�"Q�oU�-�- � . <br />Proposed Use of uilding <br />Descripfion at Work to Bo Oono: _UJ �.t� V�( <br />Cily <br />StstrJLp <br />Phone <br />SWte2ip �L� Phene <br />' SWle21p P one <br />� V <br />� Contracl Prico ot Work <br />Ke/1 �'loi;�o..�-�eR-- <br />Conlacl Person (Plan Review) <br />S� <br />NOTE: WIRING IN NON•DWELIINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CIIBLE, <br />CI7Y OF EVERET7 LOCAL SALES TAX CODE IS 3'105 <br />1 here6y certlly that 1 <br />corroct. Ai�prnvision <br />who(hor specifie�d he <br />vialafe or cr+ncel the <br />mado anU <br />n <br />to <br />FEE <br />no d�-� b� `�5� <br />a�d � / <br />�o v <br />�J <br />:a�.� f3ec.�.�.� � q'�v�. pr�c� 6� ��� <br />�I7s� �r� ^�s�i� � <br />1� , <br />�u��► - <br />