Laserfiche WebLink
Jan- 17- 12 11 :03A � � P.O1 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF �VER�TT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 ����/�Z <br /> A25-257-8810 - FAX425-2ti7-8B57-www.eveiethva.org C�ZpI-OS?i <br /> APPLICATIONS ARE ACCEI�TED FROM 9 AM TO 4 PM <br /> I �.� ���fl,� q n s'/ - <br /> PROJECT ADDRE6S �1C�� <br /> O�J� <br /> ��� ti; .4 kfi r�"s � '�n,c cfv,�� � �is,��r'` ,,,�..Y�; ,�d�25 <br /> OWnef Mali Add�aoa Gty 9lale/Zlp Phona <br /> 7enonl Mall Addrosa City SU�N7.Ip Li,rf- Phono <br /> 7 <br /> � t�,� '�sy "�� <br /> L / .R'�S 3L�s�� ��'2��1'_ /..�r. <br /> EletUlcal ConlrOclor Mail Addreea Clty 9lata2lp Ph ne <br /> i <br /> k�,�tis t �y � �.� �nvl �_.��_r <br /> Slete Uconse Number Contract Prlcn of Work <br /> ,�'�2 <br /> Propose0 Use af Bulldinq Conlocl Pereon (Plan Review) <br /> Deacriptinn of Work to Be Dune�. /U�V ���L �./i�exi�,(l�.,.. ___., �I <br /> NOTE: WIRING IN NON-DWELLINOS IS REQUIRED TO FEE T^ <br /> BE IN RACEWAYS, MC OR AC CABLE. �� �q�� <br /> CI7 Y OF EVEtiETT LOCAL 9ALES TAX CObE 18 3106 <br /> 1 he•nOy certily fha�1 nnvn�vetl end exnmined�his applicnffon nnd k�ww Ihe seme fo b9 Uu9 and }-- I�O�—O� ^� <br /> com�cf� All pP0vlsfons ol fawe end ortl7nunCes p�veYrflny NJt fype oY Kvrk wlll be compla(ad � C� <br /> whe her speclllod herehl ol�nof. Are prentlng o n ormrt does nofp resume fo givo aufhodty fu <br /> Nol,fe or cencol the prov siuns ot eny ufher stete�local law ro0ulatMp consfrue0on or�ho <br /> pedorrnence ol consrrucf'on. The!I hm eulhorlred by fhe ownm ollhis propeRv to pedortri fho <br /> work lor whlc6 appliceHon ia mnde end f cornWY wl�h fhe Sfefe Contnctors Le��f0.27RCW end <br /> 296.200 <br /> . / �- //�. <br /> '���,ai��m � <br /> ,. <br />