Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES �a5-a <br />3200 CEDAR STREET, EVERETT, WA 98201 Q <br />425-257-8810 - FAX 425-257-8857 — www.evereltwa.org [ p7p 6—I Li o <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PROJECT ADDRESS <br />D'ke'f --sg yD1�j <br />Owner Mail Address <br />Tenant _ _ _ _ Mall Address <br />Contractor Mail Address <br />State <br />License Number <br />Proposed Use of Building <br />r( <br />Description of Work to Be Done: [r e-- <br />NOTE: WIRING IN NON -DWELLINGS IS REOUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />4z4e27 4/f 9%o/ YZ 2011 <br />City Statemp Phone <br />City State/Zip Phone <br />City State/Zip Phone <br />Owx_ <br />Contract Price of Work <br />Contact Person (Plan Review) <br />Y <br />CITY OF EVE"IETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certify that I have read and examined this application and know the some to be true and <br />correct. All provisions of laws and ordinances governing this type of work will be completed <br />viliether specified herein or not. The arenting of a Perm does not presume to alve authority to <br />or <br />FEE <br />