Laserfiche WebLink
4-20-199? 5:57PM FROM <br />HUG-1�-U4 .hKl_.1U�4'L Hfl ,, :�V�� NE}�111'I' <br />E�.ECTRIC�4,L PE <br />CITY:OF EV�i�E7T <br />3200 CEDAR STRE6T, <br />425-257-8810 • FAX 425-2: <br />APPLICATIONS A�E qCCEPTEO FROM B'AM To 4 P� - <br />505 � �. <br />PROJEC7 AbbRE55 <br />owner <br />Tensnt <br />61 eclriC91 Oo n tractor <br />IAail Address <br />S'� ��jPP.E�'P 11Mt,�. <br />Mail Addres: <br />j���'SESilv32o� ; �j-25•0��..p_ <br />Statc l.lcense Number <br />Praposed Usa oi Bwltlfng <br />�cscrip6on of Work to Bo oono: <br />NO'I'E: WIRING !N NON•DWEI.LINGS IS REQUIREo To <br />88 IN RACEWAYS, MC oR AC CABLE, <br />CI7Y OF EYERE7T LOCAI SAIES TAX COOE IS 3105 <br />1 hrroby ccArfy ihat ! l7ave read and oxamined this aapik. <br />rorrect, nll provl�lone af laws and ordinances govem/ng <br />ivh�tHerspocifiad herein ar noe, ihe pranting nfe perm,� <br />vro afo orcance! the provislons �lany othersfale or/oca/ <br />porformanae o/ consPrucllon, fhni 1 nm aulhoHied by the <br />wnnc �or wi�lch applltaf/on !s madc nnd ! oomply wiFh !hc , <br />26fi.200 WAC. <br />�� <br />HO `,:,_,425; <br />� <br />..r.�,�•lr;tt.. �i,:q� FnP:...tiyrKE'I'r,, <br />T ,APPLlCATlON <br />�iT S�RVICES <br />Tf', WA 98201 <br />—w4W�,eVerettwa.org <br />&,CREDIT CARDS ARE NOT ACCEPTEp <br />Stawl7Jp <br />�-`State/Gp <br />I�EU.-� lAJ%� <br />Stato2lp <br />Pnone <br />PhOne <br />Ft� �5z4 �'I <br />Pnara <br />�iUl/CXJ <br />Contract Price of Work ' <br />� (�Dx �425-�fSB • 5"L'�5 <br />Cen�ct Persron (Plan Revfow) <br />FEE <br />and <br />tv <br />and <br />� �p7 /�-5 <br />