Laserfiche WebLink
'• � <br /> j � �o <br /> EL.ECTRICAL PERMIT APF'LICATION <br /> CITY OF EVERETT PERMIT SER'VICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 /1� al"a Q <br /> 425-'l57•8810 - FAX 425-257-8857 —www everattwa.org 6,—d}�1/ —/�1 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TC�4 PM <br /> 3 00 3 U.� GQS� n ,� J.� � �( J - �� Z. <br /> PROJECT ADDRESS T <br /> �53 � <br /> �oei�na C N�1C�n�� ���n� w ���s �nu � F�c.e-� (.v� °I $213 >�6�3y� <br /> Owner Mnd ndtlreas Clty S'ele2�n Fhone <br /> aoZ �;, _ s �.� c,� <br /> ^-� � �N j 3do3 W Casino IZc� �145-31L�c�c.re$ �/� `'l�alg N/�'� <br /> T�npnl Mr�d AdC•es9 Clty Slale�Zip Phore <br /> - L 0�) <br /> 11/�c.c��„-,c��c�.- fl'I�I,� �71 �1 Oc.i-ro�1' �i.-x $�� $�L�T�' wA `1 � b 7�8-Ydl� <br /> Elacirical Contractor Mnil AAdress C�y Stale2ip Phone <br /> ��, <br /> w���oom�� �-� -z c��= i/�/o9 _ � � 1�� � — <br /> ulato Ucense Number Conlract PricQ ot Work Cyd.S> <br /> CU✓'hIh9�1C� !��Ark /\jV�C�� �(0(o-5'1U� <br /> prnposod Use ol6uiltlinp Contact Ferson (Plan Revi�4�) <br /> L�esCription nt Wu�k tu C�y bone: I' � f v 0 �"�Q���_1 ' �'1� ��-(�C��' }Y'c\C,.2 /oZ D V <br /> z CI �GU �"t'C <br /> NOTE WIRWG IN NON•DWELLINGS IS RGpUIRED TO FEE <br /> !3E IN RACEWAYS. MC OR AC CABLF. <br /> CITY OF EVERETT LOCAL SALES T!V( CODE IS 9105 - , � <br /> 7 <Y�:,.I\ �� l \ <br /> 1 hereUy cenily that I navu read antl exi�minrd tnis applrc2Uon snd know fhe same fo be hue a�d � .- <br /> correci Alf pmvrsions ollews and or�lir�ances,a.o�emrnq fhis type ol wo�k will bo completetl � <br /> whefher sper.il��+,i ne�em or nol Tlrc yranfmo o�e permd doos nof��resume lo givc nuLhority f .. �� �Q8\J <br /> v�olate er cencel thr. pru�osions ol eny o�her sfate o�locel lew mgu•�tmg constrvchon or tha � l fl <br /> pudonnance ol construc!�un. Tlrat I nm eulhonzvd by fhe o�rner ol fh�s propeity te;,eAc»m thp� ,, �, <br /> 296 707 11 AC� ������cof'on Is made and I comply w8h tho Sfate Confra�l�rs Lavi 18.27 RCW an ti�Jv `Z���.\� <br /> � � . � <br /> r---� ��- �ti 1\��,�' , <br /> �����->=�=s�----��J�'� �� � i p 10 " , � �. ,;, <br /> ,_. �'�n�19rP nd10 _�� <br />