Laserfiche WebLink
03/�z/2013 ;ue ii: a9 rnx �003/003 <br /> � � • <br /> � <br /> I � <br /> � I ELE�TRICAL PERMIT APPLICATIUN <br /> i <br /> � <br /> ' CITY OF �VERETT FERMiT SERVICES <br /> 3200 C[DAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425•257-8857 — wvnv.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FftOM 8 AM TO 4 PM <br /> �1 c.P ) O CVe►z-� �� (�Ja�l V1n���- �I <br /> PROJECT ADDRESS <br /> �d.L�Gl+2�. 4' Z,Ol.O �J � O <br /> 13o S2��. t�l.G 11�1 ,J t2oy S� ��1 S��-}�-1-1.Q (,JA o($11�I 111 Z <br /> Owner �dail Address Cily Slale,'Zip phone <br /> MU.�.�� o✓� 'S U'ZS ZS2 <br /> r3c�rz�o�.s'�oo �-ilel o v� on Wa.y#�-1 Eve�-F�-i,,)�}�1�3zo3 I �c�`7 <br /> Tenanl btaJ ACdross ' Ciry Staiz2ip Phor.o <br /> aS `lou�- W�s�-r 2o�e 1 �3 <br /> ���G"C1�lG �ZS 5 S-1-l.c/�a�1 S+ �'�L{.-f�.Q_�fl �`�I�J�� ZSZS <br /> Eiectr�cal Contracbr t.lail Address C�ty Sta�c2ip anono <br /> �syc�u�1 � �►Z�� j�l � � oo � <br /> State L�cen,�humber ConVact Pnca of Work <br /> G�na�+ �e o�+ �z� s-1-� �� <br /> ��ftc _Pc�u��wLe��- S2C,��1 �0r1C�{ -2� <br /> Proposed Use of Bw�dmg Con;act Porson (Plan Rev�ew) <br /> Square Fooiage (If res�denlial new consUuction,remodel or addition) <br /> DescripGon of Nbrk to(3e Done: �`-'� OV � �UC�-- (�1/I�C� � '"� <br /> -2X—�.� �S I c,Vl —i�0 �C.�—t— (�(�- ►'YI� - <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, t�1C OR AC CA6L6. - <br /> ( � -.J V <br /> CITY OF EVERETT LOCAL SALES 7AX CODE IS 3'105 <br /> I I�ereGy certily(lra(I have iead and oxamined(his appl�callon and know(ho same fo be true and <br /> conecL All provrsions ollaws and ordinances govemm�this type o/viork�rill be complefed L / O O� <br /> whether spoalied heroin or noG Tho grunting o1 a pornuf does not presumo to give au(honty lo V I � � " �O <br /> viola(eorcancel(ne provisionsolanyothorstateorlocallawregulafingconsVuctionorthe <br /> peilomiance o(const�uction. Thaf 1 am aufhonzed by(ho ownero!lhis proporty lo peAorm fhe <br /> �vor � 'ch applica � is made and 1 comply wifh(ho Stato Con�racfors Law 78.27 RCW and <br /> 29 .20014' C. <br /> � <br /> �. <br /> Signiture Dal� � � <br />