Laserfiche WebLink
12/20/2007 18:92 FAE 425J551810 DECO 001 <br /> � , .e, . �•:v.�. . <br /> � ., I. <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMI7 SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 426-257-8857-www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> �6E1,�� �v Sd f �/o -s�/ <br /> 3 0 0 � W . GA-SrN e /lo AD <br /> PROJECT ADDRE6S <br /> �' � �/r f W '��� �i �" ��/G�1Er'� (/�J� ridm 3 <br /> OWf1Bf A'Iaii AdCr65s Clty � Sl3te/ZIP PhOnk <br /> S�� <br /> Tenarl� Mail ACAress Cily State(Ap Phone <br /> ��TG�r EctG►'K�C �0, �2Y�7 '+�K��T�o SF�� w�'i Uu - 3v7� <br /> ElectdcalCunVntlot MoiIAEUress Gry tU/� R.��e Sfa�e2i7 �QOPhone <br /> .7 <br /> _�uTfn � � t37P3 Q'Zsoo_"' <br /> State License Numbor Contract Pr co of W ork <br /> A�i�PG�o.�E� N+�u��T/�-i"'S /3iw�� 17c��` <br /> Proposed Use Of Buildinp Conlact Pereon (Plen Review) <br /> Descdptlon uf Work to Be Donu: �� v��� �S� /1re� v� a-aRf <br /> y0 -S� �oe2� S � $� 1 2_E�o I 2 ��=. <br /> -- _ - - ---. —� <br /> 4o-S�F Doe�c;s _ N b � 5 �� <br /> � - - - - <br /> NOT[: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> i3E IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT WCAL SALES TAX CODE IS 3106 <br /> I hereUy certily tbet I have iead and oxamined Viis appllcation and know the same to be true and <br /> conect All provlslons ollaws and or0inances goveming this type of work will be completed <br /> whefhor specilied herein or not. The grantlnp ol a permrt does notPresume to give aufhodty fo <br /> vlolate or cancBI fhe�rovisions o�any other sfate or locel law regu annp conswctlon or Ihe <br /> peAo�mnnco a/�onstructlon. That 1 am Buthoqzed by the owner oI fhis proporty fo peAorm fhe <br /> Kprk lor wlrich app�icallon is metlo and 1 wmply wrth fhe State Contraclors Law 18.27 RCW end <br /> 288200 WAC:. <br /> �.•.__ � ��LO% 7 '1 <br /> 'I awrc <br /> -T ate ' / C �� <br /> ,- �l � <br /> c <br />