Laserfiche WebLink
_ _ - --- _ _ .__ _.._ ---- - i <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 C[DAR STREET, EV[RETT, WA 98201 <br /> 425-257-8010 - FAX 425-257-8857 -www e��erettwa org <br /> 22 �� Wes�- C�, S�pl(') �04�( <br /> �rZs -3s3- <br /> PROJECT ADDRESS <br /> � l "'u.5n�h, Che.�Sy �Vere � Wf� 9�'ZO`!- lys � ��33 <br /> Owner htaJ Address C�ly Stale!Lp Phone <br /> iI�enant ��� 61ailAddress Ciry Slate�lip Phone I <br /> I <br /> }9tiC��F`C r,n, � ��, , ��� II�W ����f� Sf �nr��n f W� --��"�T7 7,G �7z�_��� <br /> i Elecirical Coniractor lda�i Atldress Ciry Slate�Tp P�one <br /> P/� CT r- CEoo1 �� � �G <br /> Sla�e License Number Conlract Puce ol Work <br /> � ' �roc� ��'C���4n <br /> G �f�� s.��� -- <br /> � Proposed Use ol Bw .fmg Ccnlact Person (Plan f2eview) I <br /> � � �-sfa-yoo� <br /> � Squ�re 1-ootage Itl revdenhal new wnstruction, remodel or addit�on� � <br /> I <br /> Nuinber o1 devices �Il low voilaye) � <br /> I Desr.nption of Woik lo He Done v� '"�r /,(f� I <br /> -- � --- -��--. .. -�- - -�5�-�_ .y.IC_Cc �_..___.._..-- <br /> I __ —'_ . .. .___. __�__-.' I <br /> __. ..__' .. .__----__.______.___. __ _ <br /> I <br /> � - --- ---- ---- --- -- - _-- -------- _ - _ - ------- . � <br /> FCC - - I <br /> I CITY OF EVERETT LOCAL SALES TAX CODE IS �105 GD �O , <br /> i1 Ireieby certily flral I havc reaJ nnd e���rnined lhis epplicabon and hno�v flre sonie fo be hue and _-.._.. �,-----_ _—_ -_-_-_-_- I <br /> cormcf All prtivrsions o/la�vs and oNrnanr.es govemmg iAis fype o(�vo�k wdl Ge complefed <br /> Iwhc�her sU«���ed heiern or nuf The yianhny u!a pr.imd does nnf presun�e to grve aufhnnty fo PERMf�# — � i <br /> Iwolale or cmrcellhe provivuns ol any ofhw sfafe o�local law mgulafmy consfructron or fho <br /> perlonnance o/cunshucfmn /lrat 1 arn airthorrzed hy fhe owner uI this pioperty fo peAomi(he E I I�-O' -- I I I <br /> . rour6 lor�:hiclr appOcafwn is made and 1 comply�rdh Ihe Sfafe Conf�aclois Law 78?7 RCW and _—.-----_-_—__-_ <br /> I 796 200 WAC <br /> � _���� �;� �11y <br /> ___ _______ _ _ _ __ _ <br /> Signatwc 1)ate <br /> I <br /> i <br /> Lnl b Y.'a n . . ._ . _. .. _ . _.. . . . . <br />