Laserfiche WebLink
DEC-23-2�10 01:48P FR0�I:PROFESSImJAL ELECTRI 360 435 1182 T0:4252578857 P.2�2 <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.everottwa.org <br />APPLICATIONS ARE ACCEPTEA FROM 8 AM TO 4 PM <br />�.� z s✓. e�o4.�w� , <br />PROJECT ADDRESS <br />l 2-�� � <br />�/D�z-15� <br />� �vi• �r ei1 � l�i�+ P/'rc t %/3 .P.3 � .�.�e ieft Cvi� -r'i 8� � �-_7,�5 <br />Ownor MallAddrose Clty Slate2lp Phone <br />Tonant <br />Mail Addrose <br />Gty <br />�fck, <br />St.�to21p <br />Phono <br />1 I^C77`PS� / O/7G � �'�P�//Yi'G � n G "PO/.� ,� �I S P�7' %"� f�f, l'i%1c. <br />Eloclrical Contraclof MallAddrese Gty Slale2lp Phone <br />P/� D �=Jr � �a 7 > ,�.4 <br />S;ulo Llconeo Numbor <br />Proposod Uso of Bullding <br />�3.s.� b " <br />Contrect Pdco of Work <br />Contecl Porson (Plan Roviow) <br />Ooccrlpllon of Work to Bo Dono: J>,t' / c/� �%.oy �J r.e�. /- �� J'�t r�P _ <br />/ �'! � /O /6 y P �i�P.� B v}I-PlI C / � ! �Li .r� e�! PT <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALE9 TAX CODE 13 3105 <br />reed ond oxomined (hls eppllcn(!on nnd know fho <br />iws nnd oNlnnncos povorning fhls (ypo ol work w� <br />orcenc <br />mnco 0 <br />r which <br />7 WAC. <br />o fo bo fruo and <br />con,p/ofod <br />✓o aurhonty to <br />flon or fho <br />'o pedorm tho <br />8.27 RCW end <br />FEE <br />����_�s3 <br />