Laserfiche WebLink
FF.C�^'� :1:1_'1-�Pi)IaN `_=E�U��ITy � F(�i; PIO. . � tdov. 1:; 2id12 C;6: 1�Ph1 P1 <br /> ----- ----� - -- -- — —� <br /> ELECTF2iC�4L PERMIT APPLICATION ! <br /> , <br /> � CITY OF EVERETT PERMIT SERVICES <br /> i 3200 CEDAR STRE[T, EVERETT, WA 98Z01 <br /> 425-257-8810 - FAX 425-257-8857—�xv�v.everettv�a.org <br /> APPLICATIONS ARE ACCEPTED FROM 6 AM TO 4 PM <br /> � � � � ��S` �V�t�C�l� L� <br /> PROJECT ADDRESS � <br /> ! � ���C. �o�Ja..\� �� � l �.`�- Mces.L.n� �t.e_��� �.v� �`6ao3 ' <br /> IOwrer 1.tailhddrou Gly Sta�w2ip 'hcnc <br /> i 1�� � <br /> TenOnt �.tan Addmae Cdy SuterLp Prcne <br /> 9B�3�i <br /> ��..c„a�',c� sc�:..a,ri I 7 y 3 �sz ra�� So S r-_�.-1a� L.k.�, ao�-baa• GS <br /> Elee�neal Contraaor 61un Atldresa Cn, Slote�Zip Gncne <br /> G�,.�.c�os5a33kS 5 3�° °�- <br /> State Llcensc Numher ,CONr3ct Pricc of Work I <br /> '��1•Ch�.N�r^,,,, �car�1\L�Sc_.h� � <br /> Propesr.tl Usx of Bw�dm� CantaCl PCr9on (Plan Revlew) <br /> a,5o e7 <br /> Squore Feotape Qf residenlial new construction,remode�or add�tion) <br /> 1 � \'� <br /> Descr�pt�on o!Work to Be Done�. Z-�S�^���^� '� v� T W d ��{ � �� S �rv - <br /> C?Sw\ \�\1^(J. u -- — <br /> --- �_.. `G \�\ ` � \��� <br /> NUTE: WIRING IN NON-DWELIINGS IS REaUIR[D TO FEt <br /> BE W RACEWAYS, MC OR AC CABLE. � �D O� —� <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 9105 I <br /> I ndryGy cwGfy fhat I havo roatl and oxammod fhis ap�6cafion and know the samo fo be In�o and <br /> corrncL All prov�sions ol laws ond orclfnances govomm(�th�s typo o!wr.rx will be compfetetl <br /> �sheUic�r spocdiod hoioin or noL Tho gn•nGnq ol a pormd Uoos nol prosurno to givo authonty fo <br /> violate or cancAl tno prowsone Nany othor sWfo or iocal law rogula7ing ronsfiucbon or t�e <br /> pCdORnence o1 consf�ucticn. That I am aup�onzeAby the o�+�nNr o/this F�opa,iy fo perlorm Ihe I <br /> v.ork hr K�hlch epp!lcnbcn rs mndo and 1 comply wifh fhe Stofn Contractors l.nw 18.?7 RCIN nnd <br /> 296.200 WAC. <br /> i 1- I 3 _ �-� � Z <br /> y�– ua�a <br /> k�c.9..c,�—'� - <br />� :p' � <br />