Laserfiche WebLink
175/19/21fOH 13:45 3F,[t659857N IJORTHERN LIGHT ELECT PAGE �1 <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-5010 - �AX 425-257-8857 — www r_verettwa.or�� <br />APPLICATIONS AFiE ACCEPTED FROM e NN TO G PM <br />�'-� % �/ J �jC'V�tf^/y' �j �% . <br />PROJECT ApDRESS ��� <br />Ownor <br />Mail <br />Gty. <br />I�nant A6�ilAdArec� '--�—'— <br />Cif�. <br />/�U f''1 G I" J'� / ���� ' v � <br />.__� � `t� 1 11 T X,�(-.C'i*P'r`f� G �i, <br />Elecirical Conlndn� h�y� Addres, �,ry <br />Sfatu Lip;i�se Number <br />Praposed Use ol Hwlding —� <br />C1iScriplion of Wark to C10 Done: �S_ t_t^ v! e Y. C�!'J 4�J Y <br />NOT[: WIRING IN NON-DWELLINGS IS REf1UIRE� TO <br />�E M RACEWAYS, MC ORAC CABLf'. <br />CITY OF EVERE7T LOCAL SALhS TAX CODH 15 JtU5 <br />Stalellip <br />Stato2ip <br />�t3ie/Zip <br />Cuntract Piice of Wcrk <br />Contact Person (Plan Review) <br />! heruby ct3rtilp tnof 1 hav� raao e,nJ examin�d flus ap�llcytien und P��mr Ih� samo fo bn fruo and <br />cerruct All provrslons ollaws ond wdinances yovc+mrnq this type or work wlll be completed <br />rrhether speci�ed hereiq or not Ihe pr�nUnp ef a permrf d�es nof presurne fo �lve authcnry te <br />vio/afo er cancel pi� provisiens ol an}� olher stota or lOcsl /aw rayulafing consln�cfion cr the <br />perlornrunce o( construc�lon That 1 am authprtzed by (ho ownar o/Ihrs property to peAarm fhe <br />work L:r which epplitafion is rnad� ard ! mm�ly u�ifh tho Staft+ Cenlrac(urs Lon� 18 ^7 RCW ond <br />29620U LV.SC. <br />ftL • <br />I— <br />Phonu <br />Phe�io <br />phnne <br />/ � / � �� �I <br />lTl <br />%, <br />