Laserfiche WebLink
Oc t. 6. 2014 11: 22AM <br />No.7242 K 1 <br />PROJECT ADDRESS <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />2200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425.257-8857—vAvvw.cvcrctt va.org <br />APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM ! V _66-I V <br />C �q/V --z) U/ <br />L/ �3y ��aW�n 11 �G�3S W.y;u.+ 17r r'=vv IUiG 9.f !�)8 <br />O.vnut Mal Address Gly state2tp ;-no IC <br />Mlz <br />Yenarl Mail Address C ty State21D Phone <br />ago <br />Electrical Contractor Idaa Address Ctr StaIM--Ip Phone <br />r>-s n] riYs /I ''r3 0 e- <br />Stale L.cecse Number <br />Proposeded Use sa of Building <br />Description of Work to Be Done <br />NO1L- WIRING IN NON-DWELL114GS IS REQUIRED TO <br />nL- IN RACEWAYS, MC OR AC CASLF. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certify that I have read and examined this applia <br />correct. A!! provisions of laws and ordinances governing <br />wholher soocrhed heroin or not. The arantiro of a permit <br />m. That I an <br />is made and <br />Signature oale <br />Contract Price of Work <br />Contact Person (Plan Review) <br />FEE <br />�a oa <br />e to be true and <br />complotod / / 0 - D <br />to authonly to <br />Von or the <br />o perform the <br />8.27 RCW and <br />Ue,4�--0�95 <br />91y, <br />