Laserfiche WebLink
4254152130 P• 1 <br /> i � — , <br /> 1 <br /> E�.�CTRICA <br /> L P�RlVIIT AF'PL1CATlOn �I <br /> CiTY OF EVERETT l�ERMIT SERV!�.ES <br /> 3200 CEDAR STREET, EVERE'i'T', WA 982J1 <br /> 425-257-8810 - FAX 425-257-8857—v�nvw.ever�ttwa.org � .�5�Z <br /> APPLICATIONS ARE ACCf:PTED FROM 8 AM TO 4 PM w�.��,� D ( CJ <br /> I(ilr� 17 t-bll �1 ��%i v� _ <br /> PROJECT ADDRES <br /> �q$;A �' <br /> �a�.l (iodc�a�d ID(al7 Nall�� �riJe �vevetl� WA �fZS353 �ct3 , <br /> Owne� Mail Address J City Slale/Zip Phone <br /> TEnant MailAddress City SWte2ip Phone <br /> E� G Elee;f;c�nc: 2-��Zf� �S-Yh A�/e vJ i��'+ei' Ul:lt �fSU3G� �fZ� ��839 I <br /> EleclricalContraclor MailAdtlrr.ss Gry Stale/Zip Phone <br /> 5EE (,61 � �1 S�J-31G � (Uno <br /> State License Numbei Contract Price of Wcrk <br /> Proposed Use of�uilding Gontacl Person (Plan Review) <br /> Description of Work to Be Done: I�'S 1 ���I �v' ` L�r��{�'�' '�r ��r�' �L�j^ <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIREU TO FEE � <br /> BE IN RACEWAYS, MC OR AC �ABLE. � <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hemby certi7y fhat I have read and examined lhrs application ari.:knnw the same fo be t�ue and !�, <br /> conecL All provisions at la�•s and ordinances goveming this fype o!wna.�vill Ge compfefed � P��QfP (�(I J��I� <br /> whetherspecified hcrein o:nol. The grantiny o7a pertn�t does nof p��sumo to give aufhonty to � <br /> violafeorcancelfhe prowsionso(anyofherstateorlocallawregu/atnr�conslnrcbonorthe 1 � t �1 <br /> perfom�ance olconslnfction. Thaf I om autlionzed by fhe ownoro(ll:is property to Perlorm the GL 1 "1ZrJ �I � �'J z�3�� <br /> wod<lor which application is made and I compJy wilh fhe Stato ConV�ctors Law 78.27 RCW and ^ C��Cl I� ( �t �^' <br /> 296200 WAC. ��� f'f'T <br /> �lv�i � X, it ! �Qyi'1'�FI'Lt . <br /> � J 3-�- �a <br /> �ignature Date <br /> �12U3 � � <br /> ;�;_ <br /> .a <br /> _ � <br />