Laserfiche WebLink
,iqN-10-2e04 06�56A FROM:PROFESSIONRL ELECTRI 360 435 1182 T0:4252578857 P.1�1 <br /> -- � <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 3 _a 9 ��3 <br /> 425-257-H810 - FAX 425-257-8857 —www.everettwa.org q <br /> APPLICA710NS ARE ACCEPTED FROM 8 AM TO 4 PM C � 3 O3 `'1 1 � <br /> _L.Q 7 O/ ,��- �vCl�i`Po... C✓o � <br /> � PROJECT ADDRESS �������� � <br /> /46.3 3 ��ry�ro� W.,,./ <br /> nc �i.✓o vo�iE'.f c.J�c� o / d7D/ �vir/���� !�la� ' le/ 94'.�d�/ <br /> ' 0� Mell Address City � / Stete2ip Phone <br /> i <br /> Tenanl Mall Atltlress City State2ip Phona <br /> , <br /> yj�- <br /> p��'� sr,�.x 1 ,�'�e�� � ��R � yg ��.,.��, e��+ 9y1�3 s.�o-��so <br /> � Eleclfical Coniractor Mail Addreas City Stale2lp Phono <br /> i <br /> AJZ o��.e Lo 7 7� � S� �� <br /> S ato License Number Conlrect Price of Work <br /> I �[� <br /> ! �t./�+ G�i� Ti q � <br /> , Proposed Use of Buildirg Contact Person (Plan Revlew) <br /> � Square Footage Qf residentlal new consiruction, remodal or addition) <br /> I <br /> , Descriptlon of Work to Be Done: �Z h,T �/� � h C°4i T� �•�� f" .�k''�iv✓�'�1 <br /> � � Lo,�.e/ � C�c. �;J'�..-. .-, �Y�..✓� <br /> i <br /> i <br /> � NOTE WIRIN� IN NON-DWEILIN�S IS REQUIREDTO FEE <br /> j �� !N �:ACEWAYS, MC OR AC CABLE. <br /> � � 3 c�G <br /> i CITY OF EVERETf LOCAL SALE5 TAX CO�E IS 3105 --� <br /> � 1 heroby cortiry fhat I have read end exemined this applicaflon and know fhe same to be tnro and <br /> ' correcf. All provlsJons ollows and ordinAnces goveming this type of work wi0 be compfofad 2 <br /> whetliorspecified herein ornaL The gronfing of a permif does nof rosumo to glve authonty to _. �,J C�3 ` lC��,(� <br /> ', violate orcencel fhe provlsfons o/any olhersfale nrlocallewrepuP!ing constructlon orthe <br /> i pedonnance o/consfn�ction. Thaf 1 am aufhonzed by the ownero/fhls property to peAorm fhe <br /> work(or which application!s rnnds end 1 comply wilh Iho Slate Cont�eclors Law 18.27 RCW and <br /> 296.200 WAC. <br /> I <br /> i <br /> � fD�u.� �r�„��r, 3 - � � -i.3 <br /> ISlgnutwe Dnle <br /> i <br /> � ' __ - <br />