Laserfiche WebLink
To Permit Services Page 2 or 4 2012.03.21 to 15 521GM251409777 From. Jeffery E Olsen Preferred Else Lome Wallltner <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200CEDAR STREET, EVERETT, WA 98201 jz <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org /- /-xO 3 <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM L <br />1515 75th Street SW Everett WA 98203-7003 <br />PROJECT ADDRESS <br />Tect Aerospace 1515 75th Street SW Everett WA 98203-7003 425.353.8080 <br />Owner Mail Address Cdy S131e/71p Phone <br />Same <br />Tenant Mail Address Cdy statelzip Phone <br />Preferred Electric P.O. Box 77120 Seattle WA 98177 425.583.9662 <br />Electrical Contractor Mall Address Cdy State/Zip Phone <br />PREFEE1925PL $19,800.00 -r y-it-1 LirJr7•" <br />Stale License Number Contract Price of Work <br />Machining Lorne Wall Inter � 2D <br />Proposed Use of Building Contact Person (Plan Re <br />Description of work to Be pone Replace existing HID 8r fluorescent lighting with new fixtures. -t- <br />nr I l<j.A A ��CtftiinACkyw rG Oov'12 in V\t ( / <br />J I <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, MC OP, AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODC IS 3105 <br />1 hereby certify that I have read and examined this application and know the same to be true and E:l ZJ3 !- <br />correct. All provisions of laws and ordinances governing this type of work will becompleted <br />whether specified herein or not. The granting of s permit does not presume to give authority to <br />violate or cancel the provisions of any other state or local law regulating construction or the <br />performance of construction. That I am authorised by the owner of this property to pBr R the <br />work or WAC application is made and I comply with the State Contractors Lew 18.27 RCW and <br />3-21-12 <br />Signature Date <br />