Laserfiche WebLink
JUL-19-2011 01:59 From: To:2578857 Paee:l�l <br />� ' <br />� ELECTRICAL PERMIT APPLICATION <br />•, �ITY OF EVERE7T PERMIT SERVICES <br />, 3200 CEDAR STREET, EVERE7'1', WA 98201 ��,'j�.0�- U <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org �� <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />-- .;. <br />�� � � '� S-�� <br />PROJEC7 ADDRESS <br />�-�� P�-� <br />Owner <br />Tenanl <br />Elechical ConVactor <br />Mall Address <br />Mail AdCress <br />Mail Adtlress <br />City <br />Ciry <br />Ciry <br />So�z � P ��'��D7 <br />Stata Liconso Numbm <br />� _ par�s 5 �� - <br />Proposed Use of Building <br />Oescriplion of WarK lo Be Done: <br />5 <br />NO7E: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br />Ihaveresd <br />or <br />Ihis applicafion and <br />goveming fhis lype <br />N a nerm�t does nol <br />„Ignature � uam <br />P� �� ��s �� � -a5�� <br />• ,r�,�,�- U,'�4u�'�- _ <br />_ ts.���.�_.________...__.__._�c <br />L � ro� <br />�� <br />a5a- 31�1 <br />State2ip Phonu <br />StatelZip <br />�g?ol <br />Slale2lp <br />� �k�s� 2 <br />Convact Price of Work <br />� n�1��'�✓ <br />Contact Rarson (Plan Review) <br />Phona <br />Phane <br />FEE <br />and �I I D� I �� <br />to � I I <br />tin � � <br />an � <br />� c� <br />_ � <br />� �r n(� lJ�'.�-� <br />