Laserfiche WebLink
Rpr Z4 06 02: 30p p. l <br /> � <br /> ELECTRICAL PERMIT APPLICATIQN <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EV6RElT, NJA 98201 <br /> 425-257-8810 - FAX 425-25)-8857— �nnv�v.everettwa.org <br /> APPLICA7IONS ARE ACCEPTED FROM 8 AN!TO 4 PH <br /> `9 l5 !3 Qd� D �., �4-�'��U v,u�i� y.2,,� <br /> PROJECT ADDRESS Z yf p <br /> ��2�`6 Y5� � <br /> T��ul� P�.t-T!" y�'QS" �'b'�sT ,�! Mt� {/�/�t..f' �u� <br /> Owner MouAoaraaa Cly 34ta21p Phons <br /> 7enanl MYIIACCf�99 , CI� Sute?tp ��S on� <br /> �4k���,E't sx,.r 3G oe ,�U � �'u 9'6�-Za/ zS9=�/4/ <br /> EIeCUicalContractor . MailAddroes City Stats/Zlp Pnone <br /> ��i.ANs.r /yzt�. I, �So '`' <br /> State License Numbor . CAntr ct Price of Work <br /> �o�l✓l,�nc t,a� <br /> Proposed Use of 8uildinp Contact Person (Plan Rovlew) <br /> DesaipGon of Work to ee Done: N�I�) ��_��f�� i (/ COA�v <br /> IVOTE; WIRING IN NON-DWELLINGS IS REQUIRED TO F�E r� <br /> F3E IN RACEWAYS, MC OR AC CABLE. / <br /> `P � <br /> CITY OF EVERETT L4CpL SALES TAX COpE IS 3105 <br /> 1 hereby ceAily thet!have reed ond exuminod thfs epppcadon end know the same to be(fua end <br /> Cooea. A!1 provlslons of lews end ordlnences qovem/ng fhls type ol wolk wll/be comp7efed � <br /> whethorspoclNed horein ornot. 7'he prenflnp o!a permif does not presume fo glve euthoriry!o <br /> vlo/otoareanc,elthe provlsion�oftnyp�herstdteor�ocollawroDuleNnpcenstrucfionorthe <br />; perJonnancs conslruCJon. 'r'hat!ana oufharizod by the owner a/thls proprrty t0 pedon»tlte <br /> work for w1tic�App�IcoUcn Is medo er.d!comply wlth the Stafe Contrsciors Law f t3,27 RCW end <br /> �96.200 WAC. <br /> .` y z <br /> unatwe ate • <br /> L o6o4-tSG <br />