Laserfiche WebLink
( <br />0 <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everetlwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />=Z. �„� l,� � l./ � / <br />PROJECT AGDRESS <br />Owner <br />�� <br />Mall Address <br />Mail <br />City <br />'Z.ZUS (,✓c�(��� <br />Ciry <br />Elsclrical Conlraclar Mail Address City <br />w-�--�- ��� �rs��%� <br />Slale LI nse N�mber <br />Proposed Use of Building <br />Description of Work to Be Done: /�—f � � � <br />NOTE: WIRINv IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certily ihat i fiavo read and examined fhis applic, <br />�� <br />to <br />/� /`�-/� <br />StatefLip <br />State/Zip <br />State2ip <br />�s �� . � <br />Conlrect Price of Work <br />Contact Person (Plan Review) <br />and <br />fo <br />and <br />Phone <br />Phone <br />zs <br />�us r s�r <br />Phone <br />FEE <br />�$3��� <br />C((12'a°�3 <br />