Laserfiche WebLink
PROFESSIONAL ELECTRI 360 435 SiBc T0:42�2578B57 P.1 <br />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.t��.�eretlwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 NIN TO 4 PAI <br />.7 2 �- _/� /3� � ./..�,.., <br />PROJECT ADDRESS ' <br />�O�o.. /�/P/J � /7rl+ 9'iYa /"�UJ3 d�.i � {=li�rv/`7' ��( �`j 8> u/ Qi .f �-7l 9 <br />Owner Mall AEdross Clly '; �n�e2ia 'nr.nn / <br />l/DA l��h S� /r s �o,S �.P g ,�=.�rio r�r- �it 9�� o> <br />Tonanl Mall Addrass Clly State2lp Phone <br />%J J- <br />f�r���st io.�c I ��Prfr.c Z'a /odl a%9 /9// �.-� (�iff Gi�'1.7� 3.Pu-��'�o <br />Elociricol Conlroclor Mull Addross Ci�y Stalo/Zip �`ho�c <br />- P�10 /%G� �O '7 7 ,Cq <br />S�alo Ucense Number <br />U"Nf . C C <br />Proposc0 Uso ol Dulltluig . <br />/S r7c� �- <br />COnlia[l (�riCO of �VOrY, <br />Conlacl Person (Plan Revie�v) <br />Descriptlon ef Wurk lo Do Done: �Jol� /. � L, ff �., p y�,�i � ,(��,����oY^ d oL e,� <br />C'Gi /��� c7r�P-� o��/t�fi c� <a,� � �' �"P�/u« S'c /,a� _ <br />„. • <br />NOTE: WIRING IN NON•DWELLINGS IS REQUIRED TO <br />dE IN RACEWAYS, A4C OR AC CABLE. <br />CITY OF EVER[TT LOCAL SALES TAX CODE IS 3105 <br />I herebyc�rtily fhcif I havo mud <br />coirocf. All provlslons o/la�t�s a <br />�vhofher speclGed horein or no(. <br />vlolofe a cmuol R�o provl5i0ns <br />pon'omianc�� e/ c�nslrucfion. Ti <br />work lor �vhich appflcefion !s mA <br />296.2001M1�AC. � <br />Iam <br />nnd <br />(his applicotion and know <br />gorerning fhls fypo ol woi <br />�l a pornut does nol prAsi, <br />? f0 be Inie nnd <br />cornplofod <br />�e eu(honly (o <br />I/on Or fha <br />o pe�lcrm 1h� <br />B.7.7 RCW end <br />fEE <br />( <br />�j� - /" /_ �� <br />C12Cco� �j��-..v,-. �- o? % -� a/ (� /`l�� <br />SipnaWra Dalo <br />