Laserfiche WebLink
09/�B/2014 12:20 20629115�� <br />ELECTRICAL PERMiT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98207 <br />42£-257-8610 - FAX 425-257-8857 - www r.verettwa.org <br />i3�o <br />iJA9- Bzusk:ud Road �:i:lc Yos[ 188 �- Ere:ett Scale Iiuusel <br />PROJECTADDRE58 <br />F'AGF 92/02 <br />�ept of Fr,terp:l�n Services, Financial Office, F'O Box 41C08, Ulympia MA 995f,a 350-786-7y5 <br />OWt1@f MeilAndmes Clly Star¢/Z�p Phond <br />Eveiett Scale !?ouso, 1300 pzus;rnd Road, sv�xe[t WA 962C8 36C-770-787' <br />Tr.nent MaiiAtldress Ciy SIn1c2iD Phpne <br />Bayview �lecttic LLC, 1178? Watertank Hd, Saite ti, Burlin tor. wA 38233 360�707-0535 <br />EI0dnG71ContraCtOr �Aa�lAdd�ess Clly SlalelZiD P�one <br />RAYtiSEL954!7K 602496962 <br />State Lleensa Numbar (reqw�ed) City of Evu�nfl D�siness license Numtmr (.equired) <br />1409a On <br />Praposetl Use ol Builtling Co�Vaa Pr�a of Wnrk <br />� ?etmit Contact/SimplrxGrinnell; 206-291-i468 <br />Janet Stebbina- jastehbinsCsimpleK�Linnell coT <br />S�uare foolage (II re,eidentiel new conaUuction, iwmodel or pddilionJ Contatl Peraon/Contad N�mbed[mnil <br />26 <br />Numbe� of davices pt lOw voltage) <br />OescnpponofWorkln8e�onc. inswll U) FACP ar.d (26) device3 al Everntt Scale Huuse, <br />Joint ven[ure betWoen SimplexGrinnr.11 (deslg;i/pe_ m t/[c❑t) ar.d <br />__ Payv.few Elecccic lin.^.t.11l <br />CITY OF EVERETT �OCAL SALEB TAl( CODE IS at06 <br />I heieDy certify �haf I hevo read and exnmined fhis appl'rcefion ond knaw the snmo M be Wr und <br />ounoct Ap provlsions o!la�vs and oN�qances goveming yie typc ol werk wAl bc cvmplefed <br />wlrelbor specrflod Aersin or nol. A�e o�anGnp ola pemiil eoos nor prosume to grvc nulhony to <br />v�olate or canr.el fho 0�✓isrona al any olhw stale ur locel faw ropulsl�nq cons/rvcG'on o� IAo <br />/xdomronce o/conalnicUOn. Ib»f l am ouUlolYicd Dylho ownel of fhis prOpe/ty f0 perfoml fAe <br />work �or wAicA applirnhon is nraCo ond I comp/y wilh !he 5(aM Cnn(reClors Law 18 J7 HCW und <br />29G. ZOO WAC. <br />9/8/z014 <br />R:'�9CD 06Svpf 1 <br />PE[ -- <br />S��zo <br />PERMR# <br />E 140`�- ��{ 2- <br />