Laserfiche WebLink
Jun 13 11 11:01a <br />� <br />p.2 <br />�� . 1' �.d�M��j <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES /� <br />3200 CEDAR STREET, EVERETT, WA 98201 lJ —/ 3-� �I <br />425-257-8810 - FAX 425-257-8857 — www•evereriwa.org <br />(.,31 �-1 <br />� <br />PROJECT AODRESS <br />� �� <br />Ovmer <br />Tenant <br />i Y�1�id <br />ElectAcal Contrador <br />State License Number <br />�;�; a,� <br />Preposed Use of 8uilding <br />Descnp6on of Work to Be Done: <br />APPUCATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />e���- A <br />53�.1 <br />� �,I <br />Mail Addtess <br />Mail Addtess <br />Mail Add�ess <br />NOTE: W�RING IN NON-DWELLINGS IS REQUIREO TO <br />BE IN RACEWAYS, MC OR AC CABLE . <br />CtTY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />lhoroby certlfy that!lrave read and examirred fhis appiic <br />correct A!lpmvisions o/laws and ordinanaes goveming <br />whether soecihed herein or nol. The 9ranfing ofa pemrrf <br />��13 <br />Ciry <br />City <br />Stale2ip <br />StatrJZip <br />C/lb (�--0'11 <br />� <br />Phme <br />Gry Slate/XiP Phone <br />� <br />Contract Pricc of W ark <br />.i„�;� L'a��:tb <br />Contac[ Person (Plan Review) <br />ptv rho <br />work w <br />� fo be frue and <br />complafed <br />�e authonly fa <br />lion or the <br />o pe�lonn fhe <br />8.27 RCW and <br />OG-/�/ <br />FEE <br />�llv� -6�1 <br />