Laserfiche WebLink
0�/:0/2013 WCU 1G: 16 PA% 360 805 0287 HtLN6 P.LBCTRIC m002/OOC <br /> ._— _.. . ._—._.—, <br /> ELECTRICAL PEFtMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CCDNR S'fREET, [VEREI l , WA 9°201 � � a i -�3 <br /> i 4`1.5-257-fSfi10 - PAX425-257-8[i57 •-�wnv.everelhva,orc� � � 3p ���Z <br /> I <br /> l�PPLICATIONS ARF ACCEPT[D FROM 6 AM TO 4 PM <br /> �">c,b .� C-J C',�.�i.-io IZcz�.l� �{. ,�, , . n ( `� <br /> PROJ[CTADDR[SS � <br /> jz�-��i.�� Co�n�/�r�r �� iS��' 37v l—Sc-r-��7t�_�_�� Ia�/_ a c <br /> Owner nt�d r+dm�ss cuy si�ie2�p {'hone <br /> '_'_ ��✓I.JI-(� ��— —...__..'_ <br /> __._.._......__ ' '_'"_—' " <br /> l enen! "—'�"—� '—Mril AAUiess ��' '- i.i�y. SInINLp Phonc <br /> I3� a ��, � Sr„ � 7 <br /> /)'l, �� C�l.c�,c %�5��1 /7o�'��P S� !�'+���,.-c�C c..i4 �i�a?�_.__Y .�.�Y <br /> ---- -- _. ..- - - -----_-- -'- � <br /> FI?cliicol Contractur Mnil AdAress f,ily Slafr.(/.Ip Phone <br /> /7�1/C NL-�l/ / ��lJ _ ��� "'� -- -- - <br /> �--- <br /> Slate License Numter Contracl Price ollNork <br /> ���,�,,, �� l� l�Ls �,�� G,lf-lss�s --�- <br /> Proposed Use uf Buddicy Conlact Person (Flan Rewev.�) <br /> j� �� Q-l4�1'!r.t.i� ,� .7l!�. // /Ci l�'�. <br /> Uoscnplion of Work to Ue Done 1 �-.'_r•"' G�.Y / __' _—" �--._ _ <br /> _ —. _ / / <br /> 7�' � l ( °'i'J i�il[l �? �'i`'�l C/•'�r f; , ��^S/i. (/ /7 l+,� <iCi�csC'..J-� <br /> _�____ __.�_'____ _ ' . ' '_— <br /> - '_"—_'__..— ____—_ __`.—'_._' <br /> j � r -� / <br /> 1 fr-� :'� ��*� !-i /7 e�c'Ifr'a� . �`,' �' �:-P /�/lQ C/i '.—___'.._. <br /> NOTE�. WIRING ItJ NON-DWGLLINGS IS RFC]UIRLD l0 �EE �i' ,1 5�-�� <br /> f36 M RnCL=WAYS, MC OR AC CABLE � � � <br /> I <br /> CITY UF EVERETT LOCAL SALES TAX CODE IS 7105 <br /> I lreroby certi�y fliaf I l�r�vo rend And ev�minetl lhis opplica6on ond know tho same fo bo true anrl . �� q/ � <br /> cw�ecf All provrs�ons ollnws arrd orUinancos governing fh�s typa ol work will Ge,conipleted � I - ,` ,� —/ <br /> wlielhnr speci0ed horein cr nof )he granhng ol a permd does nuf p/E15UR7B�J 91V0 BflII1JIBy i�� <br /> violafe oi cancol fha piovisions ul any ofhers�afe orbcal law renulehno ConsfrucGon o�the <br /> pedonrrance ol consfrucfron. 7hnl I am aufho�ized by fhe owner ol fbis pioperty fo peAorm flio <br /> woik IJ/R'IdCll 9O/111Ce1W11 iSIIIAdC H/IU I GO/II�JIy 1Y1�17�hB Sf�IO CJ/)�lICIJ/5 LlIN' 7B 2i RCII'and <br /> I .'BG:OJ N�A" <br /> .� � % <br /> ) <br /> ! ��,., ���� �/ �� _. , ��__,.�/.� <br /> „ , � <br /> . _ _ ----- <br /> ,�, � ------ -- - <br /> � <br />