Laserfiche WebLink
�4/21/2�06 07:26 360659657B NDRTHERN LIGHT ELECT PAGE 01 <br />ELECTRICAL PERMI'T �APPLICATION <br />CITY OF EVERETT PERNiIT SERVIGES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />r %rZ.>' �'� %�' � i✓ i.a � 020 <br />PRpJECT ADDRESS <br />�G. GV l Y' <br />Owner <br />Tenant <br />Electrical CoNractOr <br />State License Number <br />Proposed Use of f3uilding <br />Gy /1r <br />mau ntl ross <br />Mali Address <br />�� !9% . <br />Mall Address <br />City <br />City <br />CIIy <br />s�ate�zip <br />Slate2ip <br />Siate2�p <br />Cuntracl Price of Work <br />ContaciPorson (Plan Review) <br />Description of Work to Be Done: _ �� �� ��� �py�.�.�� <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIR[D 70 <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CO�E IS 3105 <br />1 heroby certily tl;af I have reaJ en <br />coriect All provisions ollaws ond <br />�vh�rhor spoci/ied herein or noL T <br />violafe or cancel the provisions ol � <br />performence of constructron. 7hs1 <br />worlc lur whrch apulication Is mpde <br />zst;.zao wqc. <br />fhis application and know fhe same to be frue and <br />povormny th�s ty/�e oI work wl!! be cornpleted <br />�I � pomut does no! �rQswne to pive authonry to <br />ate or locel law r�gu�ating COnsfruction or the <br />izatl by fho owner o/ this prvperfy fo peiform the <br />'y wrth the State Contractors Le�v 1 p17 RCW and <br />FEE <br />�'o���u- <br />P110n� <br />Phone <br />Phone <br />