|
0
<br />u
<br />I; �� ����,�� , .� ,,�
<br />.—
<br />•
<br />�; ��F,4 F ,
<br />ELECTRICAL PERMIT APPLICATION
<br />CITY OF EVERETT PERMIT SERVICES
<br />3200 CCUAfl ST RFFT, FVFRFTT b'V�� 9H2O1 �—a-� —� �
<br />425-257-(i010 • f AX 425-257•f3(i57 — nvdw everetiwa org
<br />[1601-' 3�
<br />�: t ,
<br />�• ,�:.;
<br />PKOJECTADDRESS
<br />�
<br />`'.. ��
<br />Ownri .. ._---�---- --
<br />�i Tenanl
<br />i,r ji
<br />i �'
<br />MwJ Ad.P�i.:
<br />rMll Pdd•est.
<br />� - . ;,
<br />'r,•',n k_ f- `i l';t r..,.')
<br />Cuy :tolULp
<br />dly —_.__...5!alrRip
<br />�_' 'f �51 • . .: 7`.
<br />rnone
<br />P�onp
<br />E,:t� ;i�r i-,��•-a ���'� i-. ft ,.<. �,-,,_ ,,,,,.r� '��,�E•�--' i��� ,,,,�:t�-.
<br />FIRr,t•�C:11'COntraclor '�+a'.I �dLr;: Gdy Slxtrrhp �'huie
<br />!�`. 1-'�' i; L-�;�:', �. ��: ( I'I Y:.}:.5-- --..
<br />Slaie Dcense Number Geq�nrecll Gty ol F'vere!t B�sines� Licen:e f�U'Pter ('eqt�ned)
<br />. - • /�',"�(�• !L;�_� � �-+��..�
<br />'_.�,<,�.i4„Lr-�.4./. T _._ _ _.
<br />Pwpustla 75C of BWldlnq Cunlracl Prce Of lNO�k
<br />iA �l,:i 16'.,t��.i
<br />� • i r � —
<br />SquAre FOGitlou (H reSiAenOal nr.w cnnSVi¢Ilon, �eiPotle� or ld<IL'ronj CU";aGt Po�SonlCnntaU Nunihc�lE m,'.I
<br />Nirnbpi o/ (levir,��s (il Inw vuq�gu)
<br />i ,1 . � � '�'(.'� �.�j;� ; y�, ..
<br />Deecnptia�i d VJod� to Oo O�n� � . _ ___.. _ '" ._ .
<br />�-- � --- - �—,
<br />i� FEE �
<br />CIIY OF EVlH1:17 LACAL SALBS TAX CODL IS 7105 � ��� Oj
<br />t
<br />I bwoby r.,:rtAy Ih.�f I heve �ead und canminod lluc appliea(ion rin�7lo�ow Iho samn fn pn hun nnd _
<br />aonecl All provrsOilS o! Ww5 anel nrtlm,vices qovr.minq fhu lype O! �valh v;ill Le cCwlrplBled �-- -
<br />wlrul�nrspr.uGcJ hercur or rn�l the U��✓�hnp o! a pdnud dooc nof prosumr. rn grvo .�u�honty (u PLf+MITIt --�
<br />v�nlyda� or e,vnCB! 1/rN p�Uw5�on5 0� nny ofhcr slAle nr lu�•ul lenv �e(��dtlllnp conSh��CLOn or Ilto �� I/-� �
<br />! podamanrr.olconsbu�Uun Thn113�n.ulhnnleAbyNinnwnr.rMlhrspropert�fopeAurnrlbe � L
<br />� n�ur6 !o� iYhicli ippl�c�7linn ic �nntlr..�nd I cnmply �vilh Ihe S(nla Conhar,mis Lrw 18 27 HCN' n��n � ,__ . ..
<br />786 :00 6L'A[�
<br />; /
<br />( �_,_.... t 'c ��Iti
<br />---- ---'-- ----- _.._.. _
<br />j slpnaW�e � ���
<br />f.! � �.•.:U 060R10i�
<br />
|