Laserfiche WebLink
GG/G./2013 07:39 3GOS?90125 DONi:.-�.LSGi7 EiE�TnIC IN: p[5%5 P.O�? /001 <br /> EL�CTRICAL PERMIT APP�ICATION <br /> � CITY OF EVE�tETT PERMIT SERVECES <br /> 3200 CEDAP, STREFT, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-5857-www.everettvda.org <br /> � �`15_�'�rP,��}t�en <br /> PROJECT ADDRESS � <br /> .�� ��_(��,CQr�a rr�c,�( �Je�arr �ra.. �8"io► - <br /> Gwner Mail Addreu . cay � State/Zip �Phonc <br /> Tenant . - MailAddress , City_ . _ � State2ip Phone <br /> �,Z�--n—a—�e�-��s—a.-11 ���rc.c, 139 pta�c�v_�z ri�►'"3�"• � w� 4'nz� �`�z5)3S�-��S � <br /> lecific3lt Con�rsctor � A7cil=,ddrzss . � City . SlatvZip Phone <br /> n�"I�FPZ _ � �C(,C./�.�� <br /> State '��ber Contrad Price oF Work <br /> % d:77ii% _���s4 G G I'LIa.�P <br /> Proposed�l se of Building Conlad Per on (Plan Reviaw) <br /> Square Foolape Qf residential new consVuclion,remodel or addition) � <br /> Number of devices(If low voliage) <br /> Description of Work to Be Done: {��s�,�U� � /�r>I= CJ.2�T S �//_/� Q�oo- , <br /> t.—r�—'!' <br /> -4�.�[�_Y�C�i�'. — <br /> - I <br /> • �[ <br /> CkTY OF EVERETT LOCAL 3ALES TAX CODB IS 3705 � � ��] !, <br /> I hereby certify that I have read and examined lhis applicnGun and know the seme fo be true and _� O v`"�V <br /> corract. All provisions ot laws and oMinences goveming(his rype ofwoik wiU 6e comp/eled <br /> whelhcr specified herein ornot The gianGng ot a pGrmif does no�presume fo give authonty fo � pE��#� <br /> violate or cancel thv provisions c;any oUrerslate orlocal;�w iegulatlng ronsLuction orthe ^ <br /> perfomnnce o(conshuch'on That 1 am authorized by the ormerof this uroperty fo perlomi the t _��o� _a .a� <br /> wak/or which applicalion is madv and!compty witl�tfre Stafe Cont2ctors Law 18.27 RCW antl <br /> 296.200 WAC - � � . � � � � <br /> , , `� � -/ <br /> _ _ _ _ _. <br /> ._ . . _ � _ _ __ �. _ <br /> ���,� . <br />