Laserfiche WebLink
�•,icc:�uic r�.c : ,: oz rnx �o�z;o�z <br /> • • <br /> — — — - ------ <br /> � - -- <br /> ' ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 320D CEDAF2 STRFET, EVLR[TT, VJA 98201 <br /> 425-257•8810 - FN; 425-257-8857—wvaw.everethva.org <br /> APPLfCATIONS ARE ACCEPTED FRO�d 8 AM TO 4 Ptd <br /> � � � <br /> 1�10��C C��Ib�� 1�-� � <br /> PROJECT ADDRESS �— �' <br /> , <br /> � I�Zr-� �� <br /> �'' � ` n ►�-��V�4�Imt.u1 1�1�� halY�� a-11��( }f%�acy4 �i�( �r'�,c��l <br /> '� �'d'�e� Mall Atl�ress CI falelZip Pnonc <br /> I °��- (� �� � <br /> ITenanl Idail Aaaress Clty SlateZp Pnonc <br /> � Y� �A '1 ( �+ �c D - / ��j �� �q� <br /> Llodnca G,ntraclor IAa'i naaress C � ftate2p nr.00e <br /> �ti��l ���r���� ���� <br /> 5'�de l�cense Number °i <br /> ContraU Price o�Work <br /> f � � � � �L 0 nP�IL�_ <br /> Proposetl Use ol DuiW��nq Con!aU Person (Plan Review) <br /> Squaro Footage pl rosident�al new corstrurjon,r odd rn addil�o ) <br /> < <br /> Cxscripl�on o1 W ork lo UC Done: � �� � � `� I� ��,n�� . <br /> � — <br /> _ l <br /> NOTE: WIRING IN NUlJ-D �LLINGS IS REOUIFit-D TQ j FEE �j <br /> HE IN RACEWAYS MC OR AC CA01.[. \ � ��,�,\ � <br /> VCJ <br /> ICITY OF EVERGTT LOC SALES TNf COUL IS 1105 ��,._ 1 _.___ <br /> I hereGy r,crtAy(haf I ha �read and ezaminea Ihls epphcahon and Mow Ih�a same fo be true and <br /> correct Ap provis�ons laws and ordinances govemmq fhis type of work wdl be cornplefcrl U <br /> n�he(her specthed hr.r n oi not. The granbng o/o pmmrl docs not prosume to givc authority fo �l �O��� 1 i <br /> emlale or can;e/(lie ,owvons ol any oflier sfalo or l�callaw mgulating conshucGon or fhe <br /> f^ omiance o/wm mctron. That I am aulho;rzed 6y the owner of fhis properfy lo poAorm Ihn <br /> � ,�-s:Inr K-h,�;h appr anpn is mado and l compty wdh fhe Sfatc Conhac(ors Law 7827 RCW and <br /> �JC:.100 W C. <br /> II ' � 1 � ✓�l3' � ' 1 <br /> S�gnat re Uate — <br /> _-- _ . . _ _— . .—___ _—� <br />