Laserfiche WebLink
�3/16/2�11 10:�2 2539740058 Eh1S PAGE �2/�3 <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVEi4ETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 9820'i <br />425-257-8810 - FAX 425-257-8857 — www•everettwa.org <br />AF'PLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />�� o,� �J-r�v f� �e. S� <br />PROJECT ADDRESS <br />/� s�D Nla�l- <br />owner <br />/{ 1-- 7� Hj��l�- <br />_�--- <br />Tanant tdeil Addrosa �'�Y <br />Eneryy Menagemen[ Services 15008 35th Ave. W. #!C Lynnwood <br />Electrical Conlraclor Moil Addrnss C�N <br />a <br />�'���' 7tG�. AUe . s� &�eve�i- <br />Mail Address Cily <br />�c�fl�' 7fiWA� S� �eveH- <br />ENEf�GMS913f36 - <br />Stale Licettse NUmber <br />� <br />Proposod Usc of Buildinq . <br />Doccription of Work to 8o L)ona: ASHC <br />NOTE: WIRING IN NON-DWELL�NGS IS REQlJIf2ED TO <br />O[ IN RACEWAYS, MC OR AC CABLE. <br />CITY OF [VERETT LOGAL SALES TAX CODE (S 3105 <br />I he�nby cortily that I huve read and examiqed fhis npn��ct <br />corroct All prowsions of laws and orrl/nancespovsming i <br />whetherspec��od herpein ornot. The granting a�a permlt <br />pedo�mancor�of consfructinn n 7haf 1 amraufhonzed hy tho <br />work (o� which opplication is made and I comply with the , <br />296.200 WAC. <br />� <br />�y���. <br />wA 9�,�0� �Sr—i�ril <br />Stale2ip Phone <br />�1fF ��10�' J���7��) <br />SlatcfZip <br />WA 98087 <br />Phone , <br />425-741-3526 <br />Phone <br />ConUad Price of Work <br />� Dave Davis (425) 778-2795 . ' <br />Contact Pcrson (Plan Rcviow) • <br />� FEE <br />iow the same to be We and � <br />work will bo complotcd <br />�ssume to give autharity to <br />ing consfrucffon or fhe <br />�is properry fo periomi tho <br />acrors Law 18.27 RCW and <br />U �3�. 6/,i <br />� <br />I�p3-���'� <br />