Laserfiche WebLink
61ar • 30, 2006 i1 :23A�d A�dERICAIJ CONSULTING No •6115 F. 2/2 <br /> � t <br /> ELECTRICAL PERIVIIT APPLICATION <br /> CITY OF EVERET7 PERMI7 SERVICES ; I `''� <br /> 3200 C�DAR STREET, EVERETT,WA 98201 � , <br /> 425-257-8810 - FAX 425-257-8857-www.evereriwa.org <br /> APPLICA'f10N3 ARE ACCEPTED FROM 8 AM TO 4 PM <br /> ��� o� �Q.Y�Q�YI `11�Q).1 <br /> PRWECTADDRESS �- <br /> Owner Mau ned�ess clry S�ale/zp Ptwne <br /> 1 'Bb�l ���5 2A �j13��r�C2�- n W`� �W14.�'�' l.�l�i �$Z.O�� <br /> nant MeN Addreu City StatdZlp Fho�a <br /> a�O�j <br /> sc� ��nna�e F�o n �� a3�4u 3�'D�rQS l�o.n� l� °IkD�,�,�. g�le-zrrt4 <br /> Eledrical Con ctor Mail Adtlrese Cfy SteteZp Phone <br /> i?_ 30 —o� o, <br /> ��u-���.p � � <br /> Stste Liceiue Number Contract Price d Woitc <br /> Proposed Use of Building Contsa Person (Plan Review) <br /> Deccrlptlon of WoAc to Be Done: <br /> 1.A � U p�, Q P �ry1�AYo YS � CrQ.Y�'� cZ�1/�S <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TIU(CODE IS 1105 <br /> l hereby cerii/y fhaf 1 have read and examined fhis epplication and krrow fhe same to be hue and <br /> correct: AI!provlslons o/lews end ordlnences govnminq fhls type of woAc will be eompletea <br /> whether specifred herein or not. The gran6ng of a parmrt does nofp resume to phre aufhorffy to <br /> violete or cencel the provisions o/any other state or local law regulafing conshuction a Ure <br /> perlormarece ol construc6on. That I am authorized by the owner o/fhls proaerri to perfirm fhe <br /> wak for which app�ication is made and I comply with the Stale Corrtractors'Lew 18.27 RCW and <br /> 296.200 WAC. <br /> � � (� <br /> L/t-- �� S3a - o G �D <br /> sgnewre oe� / , <br /> �� � <br />