Laserfiche WebLink
p.1 <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVER�Ti PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8957 — ww�n�.evereriwa.org <br />C�%a // APPLICATIONS ARE ACCEP7HD FROM 8 AM TO 4 PM <br />` • " r <br />�t�"2 1��--{�-4- ST' <br />PROJECT ADDRESS <br />�UU/ <br />owner <br />Tenant <br />Mall Addroea <br />Addron <br />CIN <br />Clry <br />,. — . <br />cs�,-�` <br />c��� ' l. ���� �GJ� <br />StapZP ��s Phone <br />— — �� <br />Phons <br />��'[.���� c7-S 360 � �E'U �!-v �1�! ��o / y 2s �SF z r� � <br />Electrlcal Contractcr . Mau Aaanas� Ciy � gnWi�p rnona <br />1��'c.k�,rs �y ���' <br />State Ucense Numbor <br />d FF/c!i �Gv� h�' l�r �LP,� <br />Propoaetl Use o ulldlnp <br />�Do. <br />Co�tract Pnce of Work � <br />Contact Person (Pian Review) <br />DeScrlption ot Work to Be Done: ��.I,� �'}�F[Cl�,��� ,�J�� r��L �// �Qf' L�.f� <br />S(if3 ` OO��I'�I <br />NOTE: WIRING IN NON•DWE! LINGS IS REQUIRED 70 FEE <br />BE IN RACEWAYS, MC OR AC CABLE. ��� � G <br />CT' OF EVERETT LOCAI SAI.ES TAX CODE IS 9105 <br />� <br />td <br />�,�'�1% <br />� <br />