Laserfiche WebLink
0�?. i4. 2��ii;6 2: :;��V�� fIR: rnO�iECi?ON 11C � Vo. ;161 � . '�� <br /> � s <br /> � <br /> ELEC7RICAL PERMIT APPLICATI�N � <br /> CITY QF EVERE7T QERMiT SEi2VICES ic- .-;� -��� <br /> 320�CEDAR STREET,EVERETT,W/�98201 � <br /> 425257-ES810 - FAX 425-257-8857—www.everetlwa.org �n f/b - i ef_� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM -DEP!T 8 CREDIT CARDS ARE NOT AC�EF'T+St� <br /> /J,Od 7�n�sf�-u S'�-i2�,-f' <br /> PROJECTADDRESS <br /> oCcr���ec{r�c, �D•�@K � �vhcM,S�/'�1� 9,719! �/T.S z`Ic-9�L <br /> Owner MallAddreoo Clty Stat�2ip ?hon�� <br /> �t�PR�a 5'T3N� l� �r.�i�:s'�i-4 �l. b,,,, ,{'{- l,�,t'�- qb'2D3 N2529d-� <br /> 7enant MoilAddtesc ' city Statotip ahone <br /> �r� �rnfP�za.. ��,c /�3d 6�,'bcah �� Fve..e��- u?h �;.D`1 425-��00 <br /> EiactrlcalContracior MailAddreee ciq� stntefLv PFwne <br /> F/,�Ci'T_'�n�1M( — :A�7�l�. "� <br /> SYvle Llcense Numbcr Cortlrod Pr1ce of Work <br /> ,-��v��'ineS.S 7f�r�1�_ . Sfa,'�-s — <br /> ProposQed Use of 6uINInA Contact Person (Plan ReHa� <br /> Descdpiion of Work to Be�ono: ��1'�.._2� /,(OL�f�P�,�i���j j�� <br /> �� E- ,`,.CTP.I.�. <br /> NOTE: 1h1RING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. � <br /> CIlY OF EVERET�LOCAL SALES TAX CqpE 19 3105 <br /> 1 he�ebY crrtlry that i have r9ad anJ exeminetl this nppficv6on ard know ffre semo to be We aM <br /> correcY A/l provisions oflaws ond ortiindnces powml.m�7d:ype�f vr�.�;�:,�:�„;,�,mp;er;s� <br /> unr.tl�e�spop6ecihaieln crnot 7hc p�arRing o!a prmNt doesno�prCsume to yltro a�Rhotftyto <br /> vtolaM or cancrf 1heWo visions o!any other�ofe orlocal law requ/;�tlna cansriudioA 0/the <br /> purfonnoxr ofcio�sp�ucUon, 7naf I om nuthwired py the o�mer ot rhisA�ope,7y(o peArnn fhe <br /> woilc lor whrch rpp esNon is made and I cvmpry wBn the Smfe Conhacrors Ww i8.27 RCWand <br /> 286.200 6'✓i7C. <br /> �Z��(o <br /> Sanaturn ute <br /> Y C�c:c C:� � <br />