Laserfiche WebLink
ELECTRICAL PERMIT APP�ICATIaN <br />CITY OF EVERETT PERMIT SERVICF_S <br />3200 CEDAR STREET, EVERETT, '�NA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTE� FROM o AM TO 4 PM - DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />�I3D 5� ���e-�%v���� w`�;/ <br />PROJECT ADDRES:i <br />Owner <br />�'�1b��`I <br />Tenant <br />Mall Address <br />�J3U sw ��-e-��--l�+ <br />Mail Address <br />�-l-1�1��r�. <br />�t�-� FI SY,� �� <br />5cv�2c <br />Description of Work to Be Done: <br />Mail Address <br />�� ��;�t <br />� <br />� RS �-L�� � <br />Cit Stale2ip <br />�ZjA!'�� �v /'� <br />, r-1 <br />Cily Stale/Zip <br />l�(W.�i-li���.� c�h 48z73 <br />City <br />�� <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 IS 3105 <br />1 hereby certily that 1 have read <br />correct All provisions of laws c� <br />whelher specilied herein or not. <br />violate or cancel lhe provisions <br />peAo�mance or consWcfion. T <br />work:or which applicafion is m� <br />296.200 V/AC. <br />this application and <br />State2ip <br />Phone <br />Phone <br />3C�-�(2�-�3� <br />Contrect Price of Work <br />�3d1 C,��, � � <br />Contact Person (Plan Review) <br />�� <br />e to be true and <br />comp/eted <br />ve authonry to <br />tion or the <br />�o peAorm the <br />�H.27 RCW and <br />c�-� - �., s— <br />FEE <br />Phone <br />