Laserfiche WebLink
�AR-27-2007 01:SiP� PRUM-OR ELECTRIC Svr 5036352763 T-259 P 001/002 F-249 <br /> ELECTRICAL PERMIT AF'PLIGATION <br /> CITY OF EVEf�ETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 2 _�8�p 7 <br /> 301 � 425-257-8810 - FAX425-257-8857—w�w�.everettv+a.org � <br /> � APPLICATIONS ARE ACCEPTED FI20M 8 AM TO 4 PM �'�'b7D 3��j <br /> lo� a �,wad�,�lc�y A-v�e. ��.r��� w � q$ac�� <br /> PROJECT ADDRESS <br /> loot-fle�,� f�loi��l �ei� S �+e Csa��. a.s abo�l <br /> OvmeP MnilACdress Clty StafelLip Pnone <br /> renant 6138 Address ���t� �� � �.�.t,, c�y_„ s�i�z�v (5os j a� <br /> I� TI�� <br /> �rQG�p�� �ZbiviC l'�9�1,1G-hc�v1 �o►��-�av�� oR ��a�4� 9�00 <br /> Elect I Contractor MailAddress Clry SiaienJp Phone <br /> DRECa��C I�SM � io,a��.00 <br /> State License Numher Contract Price ol Work <br /> ��Il�la►- -f�v�e►- F�a� �a+.,��,�a+��-�,�- <br /> PrOposetl Use of Ouiitling Conta Pereon (Plan iew) <br /> Descripdon of Work to 8e Done: �''J 1n���� � ���.t� C�.�� - Iv We� ( l l aTX7 ct r.�,_ <br /> Sex�� ce av�� c) e.��reu�-t-. <br /> � <br /> NOTB: WIRINr!N NON•DWELLINGS IS REQUIRED TO FEE <br /> BE IN �tACE1NAYS, MC OR AC CAEtLE. �� 5� I, �2 <br /> T J <br /> CITY OF EVERET'f LOCAL SAL�S TAX CODE IS 3105 <br /> I horeby cedrly fhat I have rodd ond examined tnis application and know fho same to 6e tnia and <br /> corr�cL Allpmvisions o�/aws ano ordinances�eve�rnng this fype of work will be completad <br /> whothar apecdiod homin ornoL Tha grznbny vl.�pvrmR doas not rasume b give authonty fo <br /> V�OJBfu of canCel fhe p!n vi5iOtl5 0/�Oy Othef Sta(E Of IOC3113W N9GPaun9 eo�5r�,ouon or ma <br /> peAormanco of construction. 7hat 1 am authonz�!d by tnu o�mer of tnis pmperty fo peAorm fhe <br /> worf<for whicn applic�lion is made and I comply wifh the Stale Contractors Law i8.27 RCW aod <br /> zse 2oa wnc. <br /> s�gnature oa�e /, � �`�,� <br /> ,� ��'> <br /> �. <br />