Laserfiche WebLink
Set�. 2i. `[!�1� �: i13P;J; E�wie Ele�lrit Servite No. 1251 F. 1 <br /> � . <br /> ELECTRICAL PERIVIIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EV[RETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—�+nvw•evereltwa.org <br /> 2 - � <br /> PROJECT ADDRESS <br /> �Ej�l/'C1�.1�^ S ���2. -/ ,�i .0 o� CUe i �JC�1`e // �L/ li).CL�9_Q O <br /> Ownor <br /> IdallAddress Cd� blalrJ2ip Phane <br /> Tenant IdallAddress C4y Stale2ip Phone <br /> / �� <br /> � e .2 !fl �erL� ,� <br /> EleclricalConiratlor hlailAddress Ciry SlaldZip Phone <br /> J3�f.t��'�'�'S'o�-�l J�� 27�D`�z <br /> Stute Llcense Number Conlracl Price ot Woik <br /> 0o n t' P <br /> Proposetl Use ot ilding Conlacl Person (Pian Review) <br /> � <br /> Squa�e Foolage(II rasidenlial new conslmclion,remodel or eddilion) <br /> Number of devlces pf lowvoll29e) <br /> Desciiplion o(Work to Be Pono: I� e i � i.� �. ��L,��' � b n i^o c- F <br /> FEE <br /> ��� <br /> CITY OF EVGRC7T LOCAI SALES TAX CODE IS 3105 � � � <br /> I horoby cortily(ha11 have resd snd examined(hls eppAcafion and knowlho same lo be fruo and <br /> cor�ecl. All provisimu ollaws and ordinancas govaming Ihis fy pe o!wnrk wlllbo complslod <br /> whalherspeci)ied herein ornoL T/ie gianling o/�permddoes not presume to give suthonly lo PERMI7# <br /> v/olafeorcancollheprobisionsolanyothorsf�leorlocsliswregulafinpcnnsfructionoNhe � C <br /> pedormonce ol conslrucl/on. iliel I am aufhonzed by Iho atvn�i o(fhis property to pedom�Iho E I �7( � , — ��� <br /> �vork lor which applicafion is mado and 1 comply wilh Ihe Sfate Conlroc(o�s Law 18.27 RCW and � <br /> 296.200 WAC. • <br /> �� g�a..� �i'3 <br /> �gnolurg �� <br /> �/C4SG�. �� `( . <br /> Rtl1SFJY:IYIJ <br />