Laserfiche WebLink
May1314OT18a V�ckie 3606514838 p.t <br /> � - -- -- -- � <br /> � <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CE�AR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857-wanv.everethva.org <br /> i APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �_� 3 —�� <br /> �/ �/OS -0 �� I <br /> �d� � /'�c.�' cc),4ti] j <br /> PROJEGT ADDRESS � i <br /> � '�u� �c.� v�0��— B��/t,cJ�e�, �.Cw-ca.�� . I.�IA v:�- -�3z s7E� <br /> Owner ldailAddress City Slale7Zlp Phon? <br /> ZE m s i�v �bo?S� ��ala�� , r-c.�c�� lt�l�- ��t''�o�?S-9c)s� � <br /> �pt��t ��„ n_ IJailAtldress Oty S;ale/Zp Phon? <br /> �1 ) �C <br /> C �� F��� ��� f� sy� .�',�l�r��s uJr� i�:� <br /> EledriGal Contrac'or Nail Address C�y S�etalZip r ne <br /> 31.�:7 :sii-'-�6� <br /> i�)���+r� F= G�d� �ioa� <br /> Sta e icense Nurttber Conlrad Price of Work I <br /> /CR�L� -1,LjF r� o <br /> Pwposed Use of Buildiny7 Contact Person (?'an Rev�ew) <br /> Square Foolage p(residenlial new consWction, remotlel or additicn) <br /> Description of Work to 6e Done: ��o2O 3� ) .c�,�j <br /> -� �-�-5� <br /> NOTE: V��RING IN NON-DV�eLLINGS IS REQUIR[D TO fEE <br /> BE IN RACEWAYS, MC OR AC CABLE . �^ 5 � <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3�05 � <br /> !hereby ceRily lhat I havv mad and e.ramined fhis app6ce'ion ond know�he same to be Wo and � � � � � y��7-7 <br /> corred. Allprovlsrons ollows end orJinences govarnrnglh:s lype o/work wi!/be comp/efed � U I / <br /> whelherspeafied hercrn ornot. Tho granling of a permrt doos not presome to give authoriry7o <br /> viofa(o orcance!the provisions ol any other state orlocallaw regulahng con5froction or fhe <br /> peAormanco o!conslrvclivn. Thot I am oufhorizec.bv fhe ovinerol fhls propeRy fo podam fhe <br /> work/or v:M applicalion is modo and 1 comply wdfi the State Confracfors Lew 18.2�RCW and <br /> 296.200 Wj� <br /> ��/�.,Gc.��veL/� —� �� 3 '/�{ <br /> SipnaWro Date <br />