Laserfiche WebLink
. . � L.�i LF:�r <br />ELECTRICAL pERMiT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR S7REET, EVGRETT, WA 88201 <br />425-257•0810 • FAX A25�257-8857 — �rivw.everettwa.org <br />PROJkC7 ADDRESS <br />�� �� <br />O�mof <br />�� <br />APPLICATIONS ARE ACCEP7ED FROM 8 AM TO 4 PM <br />Vi ew 17r� d e�.tut� 9��d� � <br />IdBil nddress <br />�.� <br />CIIy <br />Tenant Idall Address City <br />1 ` %c� I �I-I 5 � roa� � <br />Elecincal Conlractor � h�ail AdAress pty <br />���a��.� <br />State License NumUer <br />Proposetl Use of 8widing <br />Descrlptton of Work lo Ba Done. <br />NOTE WIRING IN NON-DWELLINGS IS R[QUIRED TO <br />DE IN RACEWAti'S. MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CO�E IS J106 <br />I here6y corfity that 1 have read ond oxam6ied this applic <br />correct. A!1 pro��isions ollows Bnd ordinances poveming <br />tt,hother spoc�l,ud heroin o� not. Th0 granfinp o! a pertn�l <br />v�o�sto or cancol tho provisions of any ofher slqto eNoca <br />peAornt�nco of consfrucfion, Tha( 1 om eufhonzed Dy thi <br />tvorklur ivh�ch applrcation is madP ond 1 romply n�dh tho <br />296 700 WAC. <br />�2� �03 �Sq� <br />SlalelZip Phone <br />SlatolZ�p Phone <br />W A-q 821) � �ZS ��l (otol� <br />S�atelZip Pllene <br />`�� ` O � �_ <br />Contrect Price of Work <br />Contact Person (Plon Roviow) <br />re sarno to bo huo and <br />�vill be comp afud <br />�o fo Aive auf Sonty'0 <br />>nstruc;ien o +he <br />>porty ro pon�m, tno <br />o Leiv 18 27 kCIV and <br />FEE <br />�C�vv <br />L 1 zv3- v� �� <br />