Laserfiche WebLink
� � � � � . . . � .� ' 11'. .� . i <br /> � _— — � <br /> ELFCTRICAL PERMIT APPLICATION <br /> CITY OF EVEF2ETT PERMIT SERVICES <br /> � 3200 CEDAR STR[[T, EVERETT, WA 9fi201 i <br /> ' 425-257-8610 - FAX 425•257•8857—www everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO A PM <br /> �t�0 5 � s��o P,�. �lere�;l�.�A- q g 2Q3 <br /> PROJECT ADDRESS <br /> � <br /> � 5.����Q9..���U'1___�.� �4Z53�� Z� <br /> OwnU fdail Address Gry Slale2lp Phone <br /> Tenant Metl AdArecs Cdy StalelZip Phcne <br /> m a r�_I.nc�.�3�rr.�.�-..� �e�cN- wr� 4�2o i �125 2� c���� <br /> Eledrical�ontraClvr MaI�AdUresc � C�ry SleielZlp Pnone <br /> _(.;m�4E/kM�4qOtz�q 54q1 �9.5 <br /> State Lic�nse Number CoNracl Pnce of WOrk <br /> VroOosed Use ol Building Contact Penon (Plan Revi�w) <br /> DescripGon of Work to�e Dona-. 'Y��� � IXJC�GSS I`'2 1�� � ��� �L/lJ �`!� <br /> i �— <br /> NOTE: WIRING IN NON-UWELLING515 RGQUIRGD TO FEE <br /> [�E IN RACEWAVS, MC OR AC CApI.[. <br /> , CITV OF[VER[TT IOCAI SALES TA%CODE 19 �106 <br /> I herehy corLly fhat 1 ha�re read and nxamfneu fh�s apPdcal�cn antl know fhe same fo ba frua and <br /> corroct All provisrons olla�vs and orAinances yovem�nd�ba (ype ol work wdl6e completed E�� 1 � " (�� <br /> whefhor specified neruin or noL Tbo p�anbny ol a porm�f noos nof prosume m yivo aufhonty tu <br /> vrol te o�cencel(he(�rovlsions ol any o0rnr sfafe or local leu�reguretmd construcflon or fhe <br /> pa�omiaRce o/consfiuclron. Thaf r am aufho�2eJ Ay tne o�•.ner of tMs property to peNorm fhe <br /> work�ur�Mich app�ieafion i5 mpqa and I t'cnio�y�lrth Ihe Sfafe Cwfrocfors law 16 27 RCW and <br /> 296 200 IY�C. <br /> II -21� I I <br /> SipnaNre ale <br />