Laserfiche WebLink
_,:�.�,._.....:.:'.,,. __S _ �.Y::w. ,,-.- . ... . - <br /> r�i � • ����.�. �/e����r� •, . T �.� . . ... . .�. . . ' . . . <br /> 1 <br /> ELECTRICAL PERMIT APPLICATOON <br /> CITY OF EVERETT PERM17 SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 � <br /> d25-257-8810 - r'A): 425 257-8857 vr.vw.evsrettw�.org '�j - a I�� <br /> APPLICA710NS ARE ACCEPTED FROM 8 AM TO 4 PM ��g��t` ' <br /> .� �d a/ ��� <br /> PROJCCT DDnESS <br /> �n �m� f?o•�X 3 70� ���� �'y �£�/<'J;�JJOJ �5-,��a a i�- <br /> Ovmer 6lail�adrese Ciry �tate2ip Phana <br /> fenant MailAddfe37 CiC/ ]Wla/Zlp �Luue <br /> y�ri�>>1�/�.6'2� �lJ ��k 5�l . �.-•=A�.-^ 1��.9 9,�'a7$' �-��J-�'-�3�=�C2�•.�' <br /> EIeC;fiGo! Con;rattOr Mali ACdre33 Ci,y p Pnona <br /> � �J�-e7�P10 '0�7�� I <br /> ('E�JE��� 985/oZ �� <br /> SUIe LiCansl NumSar Cont�act Pnce of Work <br /> I <br /> Proposatl Uss of Bu�ltling Co�4ct Peraon (Flen fieview) <br /> Oascnption ot Work to Be Dcne: CD �—.1'�P�- (-W� — <br /> � . <br /> i <br /> i i , <br /> ' NOTe: �P!!FiING IN NON-DWEIIINGS IS REQUIRED TO FEE <br /> SE IN RACEW,4YS, MC'OR AC CABLH. y���2 � <br /> CITY OF EVERFTT LOCAL SALES TAX COOE IS 3109 , <br /> i neroey certiry that I hava read anC sxamined this aApllcaricn and kncw!h�ssma ro b+troa anQ <br /> conect atl previs�cns of iaws ana ordinancrs gOverNng lh�s rype cl werk will be completatl <br /> WhP�APf Sp4C��PAhg�?r�Af/IQ( 7he pantinp nl a pemtd Oces ne! re3umC fC pive authOrff�f0 <br /> wc�ara or cancel tha provisicns ol any othastaro er icca�law regu�tirg construchan ,r rh� <br /> � perfomrance of construction. fhar I am aurhonzed oy�ne owne�o/th�s proPem/to perrarm r�e � <br /> work for wh�cn applicarinn is made and!comply with the Stare CcnVacrors Lew 78.27 RCW and LI /, � ,/�/ <br /> 29u",200 WAC. . V <br /> I s/' I "7�G1X�i �`�-_.. _ . <br /> �nawre °� <br /> �,�d¢� ��� � GEIVEML CONSTRUCTION COMPANY <br /> � P.O.BO%1G•MUKILTEO,WA 98275 <br /> 4253323678-FNf•475766?711 : <br /> i0/t� 39Vd �� NOIl�fk115N0� �C?J31J39 � �� TTLL99L5L7 5U4R 86JL/iZ/E0 <br />