Laserfiche WebLink
� � . <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 y— b--/Z <br /> 425-257-8810 - FAX 425-257-8857—www•everettwa.org E !ZO U�O� <br /> APPLICATION8 ARE ACCEPTED FROM e AM TO 4 PM <br /> �(28 Q�VG�rLsaJ 1�LV1� <br /> PROJECTADDRESS 4�� Z3g _ (�Z <br /> �AI ��V�L�PM���i' P �v ���s b , s�+��sN �..�a 48Z�o _ <br /> Owner <br /> Mall Addrese Ciry 3lalelLp Phone <br /> Sfate/ZIP Phone <br /> Tenant Mall Addresa ��y CR�--�fj—�$ 3 `� <br /> �ua�csPAc� f,s�'� so(� i�brt� -sr s�,.� r r,�Nc,� I��a ��� '' <br /> Electrical ConVactor Mall Addrese <br /> Clry Slale/LP Phone <br /> T �� � N� `�� Y s°�'� �" <br /> conlrect rlceorwork <br /> Stale Llcenae Number <br /> T �S�F'2 ) �?�n,.� �Erl 5 � <br /> ��� �/`� �p'�- Conlad Peraon (Plan Review) <br /> Proposed Use of Building <br /> Desc�iptlon of Work l0 8e Done: <br /> e,�(Qnx',� Mt''17sh�Q�(�l� ?cr�A �,��e �' — <br /> r c�,A�,U�ic"rn i G���1"�� -`d�c_ �n7t'lu�' �-k��St� <br /> FEE <br /> NOTE: BERN RACEWAYS MC OR AC CABLEUIRED TO c v� <br /> � J <br /> CIIY OF EVERETT IOCAL SALES 7AX CODE IS 3105 � I <br /> 1 hereby certfly fhef 1 hev read end exemined thls eppllcaflon and know the seme fo be hue end zQ��Q� ( <br /> conect. All provlslons o ews and oNlnences poveming fhls type op/work wl��be complefed <br /> vloletaeor cancel�he re� Islons�ol eny ofhe�r state oi lo�cel d w repulaGng conshu�on w fhey to <br /> perlormance o/cons Non. Thef I am aufhorized 6y fhe owner o/fhis property to peAorm the <br /> 296 200 WAC a 7s made and 1 compfy with fhe State Contrac(ors Lew 18.27 RCW and <br /> � <br /> y � � <br /> na re <br /> Data <br />