Laserfiche WebLink
04/ 10/�Ol:i 07: :39 P:1X 425 3i� 1976 RGX L'LIiC'fRIC I�J001 <br /> � • <br /> ♦ <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SEF�VI(:ES <br /> 32D0 CEDAR STREET, El/ERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.evereltwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> �50o s.�a'�sl�-y S�-,��a- SUr�c 300 <br /> PROJECT AODRESS <br /> -Trv►�k.��s�ev�•� ►63�8 8r�ck�4�"a+n vR,U w G�A��6� t,.n'F 9�33L�¢�sI <br /> Owner MailAddmss Gry SIaW:ip Phone <br /> �B.l�/n9,����raS /�aoa�u�fsySt 1mo y�.,d,1,s� �l��°3 HU'� -yQ7-/�/ <br /> Tenant —� MailAdEmss Crty StaterL7p POono <br /> � �leaFrr � � ���2- � 9T" sYN� ��ft.✓,x.5 Gu�9Pz�� �{z�rr�ur�y�r <br /> EI9qnWICOnt2ctOr MatlAdOfeac Clty Slatc/Zlp Phem <br /> �C�t�S�,7�L`� �'Z ,7 �� �o <br /> State Llcense Number Contrar.t Pri�af Work <br /> ���,�'�/L�/�eo/ <br /> r posed lise o(BWlding Conlap Person (Plan ReWew) <br /> Desraiption of Wark to Bo Oone: C �i �.�i Gi9T���Bw 'T�i'/o f/�Q,� $r,� <br /> NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO FEE � <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> fa3 - �ts <br /> CITY OF EVERETT LOCAL SALE3 TAX CODE IS 3106 <br /> I horoby�rti/y thef I hovo read�nd oxaminod fhis opplipfion and know fha samo to he Wo and <br /> convcL AIl provisrons oll3ws and oNi�nnces 5ovommg Nis type o/wnrk w2'Do comp/o(od i � <br /> whother spocrfred ho.roin or noL The grnnGng of o peimd does no!prosume fo grve authortty fo � I 3p U _ p �7/„ <br /> vloleloorcnncelf/io p�ovisinnsolanyo:ho�s(ufoorlocalfawrtigulafmgccnsfru�dionorlhe � `N <br /> porlormanrn olconstiocffon. Thaf I em authonzod by fhe ownero/fhisproporty fo perform(he <br /> worfr Ior whlCh applicefion!s mado and/compty wl(h fho Sfafo Canhaclors Lew 1B 27 RCW end <br /> 286.?00 WAG. <br /> _�L�-.� -t�U�,�-c-��— y�°�3 <br /> I �gnauua Det <br /> .t I <br /> I _ <br />