Laserfiche WebLink
04/13/2011 08:56 18886i59679 LIGHTS IJ PLASTICS PAGE 04/04 <br /> i � <br /> ELECTRICAL PERMIT APPLICATION <br /> CI'i'Y OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org (��/3��� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 pM �)/� ,`v O�Q� <br /> , �F t� <br /> I� ial ��-�-��-��f �-a� c',�l-�w� ��ao�f <br /> PROJECT ApDRESS <br /> OWner Mall Address Clty Stato/2ip Phone <br /> Ve�e.far� ��ea � I'�1 ruicc�5 IG1�� Ldefi�<en W i �fa� G` , f— �1 <br /> Mnli Addres9—�—r ✓U C t'7 (.Jl'�' `�(�"1 Na�J'S��'�7�8 <br /> Tonant _ <br /> Clry SWta2IP Phono <br /> M�Fro Cle��-rr� cGC ;�a�� 15�'A� 5. ��d5 ��I-Ne r..�Fl ���3N .��J ��-�5as <br /> cicc�m:ai�ornmccor Mail Address Clty Stato2fp phone <br /> E � L. �'r �� � 57a� '7� <br /> State Licenso Num6er Conlract Price oi Work <br /> Wnn��n � ��� y I 1'GSIn S�v�n�nnUr'��i <br /> Proposed Usa of Bullding � Contect Person (Plan Review) <br /> � -, I <br /> Doscnptlon of Work to Be Done: _ �bM���,,h� � f o�_�''�_ ��� L. � 2nC� <br /> �%dI I2� � C�c�V� Oc.. t' <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO ��E <br /> e� IN RACEWAYS, MC OR AC CABLE. <br /> � 59�� 8 <br /> CITY OF EyERETT LOCAL SALES TAX CODE IS 3105 <br /> I herc6y ceRity fhaf I hove read end examinod th�a opPlicaf/on ond know tho some to 6e(ruo and � <br /> conact All provls/ons of laws and oni/nances govem�nglhls typp a/Wo�µ,ifl be�ompleled � � l)�-� - (� <br /> whothr.r spoc/fied ho In or naL The gran!ing oI e permit does noi prosume to give authoriry fo � �� <br /> v/ola7e.or concel the rovisions ol any erstate orlocal low mgulating consfrucflon or tho <br /> perfurmonce o/con rucflon. Tha(I o%�utl�orimq by the owner o!th/s property to perform the <br /> �wrk lorwhl�h app sfion is mode ah I comply wilh fho Stefe Contrnctprs La�v 1B.27RCWond <br /> 296.200�AC. � <br /> "� / ��`��'% <br /> " � Ignowre � Oate <br /> % <br /> � <br /> � <br />