Laserfiche WebLink
Dec 02 10 02:15p Corridor Electric Inc 360-862-8150 p.2 <br /> � i <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERM17 StRVICES <br /> 3240 CEDAi2 STREET, EVERETT, WA 98201 <br /> 425-257-88'10 - FAX425-257-8857—www.everettwa.org �Z�'�./a <br /> APPL,ICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM C�b�Z`-��"7 <br /> 5S2s ��inF���r��.�`i ��7v� <br /> PROJECT A�DRESS <br /> 7Z5 <br /> �Flihy E11A�F� SSZS�dIY1��7Ek'Cl'{I L �►�/S�'� �(3� 9�zo� 3S�-ld���3 <br /> Ownef MailAtldress City SlatelLip Fhone <br /> �m� �lS own��� � � � c � � � , i � t � r � <br /> Tenant Mail Address C�ry Sl�tefLip Pnonc <br /> ����_ <br /> Cl�c�'�c�cTi��c.�nf� � m�apc.� A►% c�l;Ct/lyn�(Sfl �v'f1 %�'y0 ���2 <br /> Electnpl Conlrador �Aoil Adtlress Ci1y State2ip Phonc <br /> Q �I��`�i3R� �Ol� � ,9�k'aX. <br /> Slale License Aum6er Contract Price ot Work <br /> �E,� � n�n�-r�p c� �'�l �;<?�nA�l <br /> Proposed Use of Uuilding Contacy Person (Fian Revlew� <br /> Descriptiono(WorktoBeDone: �I 1 �����Jf� �Q�'V�.I� �G1� (1lVL ���t./ �7�T <br /> �u �'� P� r-�FPc�cE � xr S-r�����,�k�a��c�- ���-rH ��- �- <br /> � �(��.Sr �t �_ �F4'►'1«. � u7c..�, <br /> NOTE: WIRING IN IVON-DWELLINGS IS REQUIRED TO FEE <br /> S[ IN R/10EWAYS, MC ORAC CAEiLE. <br /> CITY OF EYERETT LOCAL SALES TAX CODE IS 1105 <br /> I he�eby cortify thot f huve road nnd examined this opF��catron and krox�thc samo(o bo Gue antl C \(�j 1�L. � U2�- <br /> conact Allpronsions ollews ontl ordinonoos govammg lhis typa o.'«�ak wil!be complefed <br /> whether specifiad horein crnot. The gronGng ol o pormit does not p�[�sumo!o give nWhonty fa <br /> vio/afe or cancei th�p.vvisions of ony otlrersta(e or 7oc:v lavi mgufabng cnnstruction orlhe <br /> performance olconstrucNon. 7haf I am auN�orized by Uie o�mer o!7his roperty fo pedarn fhe <br /> watr(or�vhich app/icafion is motle and I comply wi;h the Sfa(e CcnfracPrs[.aw 1827 RCW and <br /> 296.20011�7C. <br /> 1 •�, � <br /> �� �C�m� I7,� Z- ! [� • <br /> Si9�tw+e Date <br /> I <br />