Laserfiche WebLink
�LECTRICAL PERIUIIT A�'PLICATIC��V <br /> CITY OF EVERETT RERMIT S�RVICES <br /> 3200 CEDAR STREET, c1/ERETT, WA 98201 8�-IS—I/ <br /> 425-257-8810 - FAX425-257-8857—www.everettwa.org <br /> EI iog--o9 Z <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> IZo3 Se' C-�r��T VY�LI wll�!au �T w(, . �=vc�.61c� v.�(� '��?2.0 1 <br /> PROJECT ADDRESS <br /> 206 ' �ZZ' <br /> �'���.��'c� lZ8C�7 Lake �'i�R.. {�J,Dtia� l�a��, tL 334yy 4o�b <br /> �� ����,re��.� �,ry � s�t� ��a <br /> �C°.yv�' 12 c�3 St� Lvr�tt-1N1atl, [31Jc�• �i,�,e't1- I,Upr �'$2o I 2ao�uzz• 9� <br /> Tenant MailAddress�g��e Gty Stata2lp Plwoe <br /> ��S�o 2►zs �q�`� st s,a ��o� L4�,���od ww q�o� sa,•rs���4�s <br /> ElectricalConfredor MailAddress Gly Slat�lv Ph°^e <br /> ,g i00. Go <br /> `�ourobc=5 �� �o � �r"� <br /> Slale IJcense Number Contract Price of Work <br /> Proposed Use of Bullding Contact Person (Plan Review) <br /> � <br /> DescriptlonofWorktoBeDone: F�b ^��51'��—� 6w,�.r-+• eA�wNr2 c.aPY wl1C.l. Ol/t'CL�+J��'1 <br /> �O KZ� Sl.��IU ��sPLk� r <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO � <br /> BE IN RACEWAYS,MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE 13 3705 <br /> 1 hereby certify thaf 1 have read end exomined thts applicefion end hnow the same to be hue and ��1 U� _O p� <br /> cwroct. All provislons o(lews and otdinances govemtn9 Nds type aI wioAc wlll 6e completed � -� <br /> whetherspeci/led herefn ornot. TTie grentlnp o/a permlt does nofp rssume to give euthority fo <br /> No/a(e orcancel(he provislons ofany olhers(ata orlocellaw reguleGng conshuc8on or fhe <br /> perfomwnce olconsiruc0on. Thaf I am aufhodzed by tlie owner of thfs property to peAorm tha <br /> worklor whtch appl/catlon!s mede and 1 compty wifh ti�e Stafe Contrac(ors Lew 18.27 RCW and <br /> 296.200 WAC. <br /> ��;�� g' L' �� <br /> Ignature Dale <br /> �_ <br />