Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br />ITY 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 />PROJECT ADDRESS <br />Fucker FiocMavS� Q�.�i� ✓ �Ve W�+, �d�Lo3 <br />Owner Mall Address City State/Zip Phone <br />fauc,1z-- ,L 4 2 N ! i� Ave . Evek-A- <br />Tenant Mail Address City StatelZip Phone <br />Energy Management Services 15008 35th Ave. W. 4C Lynnwood WA 98087 425-741-3526 <br />Electrical Contractor Mail Address City Statelzip Phonc <br />ENERGMS91386 <br />Contract P <br />State License NumberPrice of Work <br />Dave Davis (425) 778-2790 <br />Proposed Use of Building r Contact Petso�ny (Plan Review) <br />Description of Work to Be Done: ASHC Cz '!_T <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO f EE <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certify that I have read and examined this application and know the same to be true and (o,2)— 0 <br />correct. All provisions of laws and ordinances governing this type of work will be completed <br />whether specified herein or not. The granting of a permit does not presume to give authonfy to <br />violate or cancel the envisions of any other state or local law regulating construction or the <br />wor fo once of co �tis made and I comply with the State Cont actorspLaw 18 Perform <br />7 RCWland <br />work for which application <br />296.200 WAG. <br />ignature Date <br />