Laserfiche WebLink
ELECTRICAL E�ERMI�T APPLICATIOM <br />CITY QF EVERCTT PER��,AIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-?57-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />y3�, c��Frn�«r�� �v�= <br />PROJECT ADDRESS <br />y.�s <br />��� <br />k�E,v �/�c�, N.:AS%cl'" Y?�� l,�t�i�oj� 9Fs��i s�y`l <br />Owner Mail Address Ciry State/Zip Phone <br />Tenanl <br />Mail Address <br />Cily <br />StatMZip r .-��- Phone <br />Y <br />f�NiAMb,�k r�r 3���� �U �1v ,E-�� ��.z�i 2S� ,��G/ <br />EIeCUical ConUac�or Mail Address City Stale2ip Phone <br />i}'G.,,a N .Ys /y 1 L.P <br />Stale License Number <br />Sf �V <br />Proposed Use of Buildinc� <br />Conhact Price ot Work <br />Contact Person (Plan Review) <br />DescriplianofWorktoBeDone: l��_/G�=' A��F i�%Il���i(,. <br />NOTE: WIRING IIJ NON-DWELUNGS IS REQUIRED TO <br />DE IN RACEINAYS, MC OR AC CABLE. <br />CITY OF tVERETT LOCAL SALES TAX CODE IS 3105 <br />y certily Ihaf I have read and <br />. All provisions ol lairs and o <br />�rspealredhereinornoC Th� <br />ur cancel Ihe orovisions ol ar <br />/ <br />! <br />this <br />comply <br />d'; <br />' know fhe same ro be frue and <br />o( work wi/l Ge complefed <br />' presume to give aofhrnty to <br />�lating construction or fha <br />I fhis property;o pe,?omi fhe <br />��6�aGors La�v 18.27 RCW and <br />FEE <br />� � v C,= <br />