Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.ev^rettwa.crg <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />f�0 5 &; -r h S� 16) - �i- 98zo3 <br />PROJECT ADDRESS <br />�S�Me � <<6t <br />Pact �e <br />I <br />? sol s <br />Xac <br />Owner Mall Address <br />�ome- co a me � <br />p /f1�,, <br />faei-Ac <br />Clty <br />I OP -0- r <br />State/Zip Phone <br />_rmc <br />Tenant Mail Address <br />City <br />Stale/Zip Phone <br />Electrical <br />State License Number <br />E50t tierlfe A <br />Proposed Use Of Building ! <br />Description of Work to Be Done e e4c-f ri cet I <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE 13 3106 <br />City StaterZip <br />\ <br />71� 7. 60 <br />Contract Price of Work <br />,)anus z t 7 jJatPCZ, �.1uJ) . decl�l <br />Contact Person (Plan Review) <br />FEE <br />Phone <br />