Laserfiche WebLink
Jul - 1Z- 10 11 : 29A P .O1 <br /> ELECTRICAL PE=RMIT APPLICATION <br /> I CITY OF EVERETT' PERMIT SERVICES <br /> 320U CEDAR STREE f, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425,257-8857 – www.everettwa.org <br /> � APPLICATIONS ARE ACCEPTED FROM t3 AM TO 4 PM — <br /> �.LLZ k � I��G 4��� 1Z�— �/z s <br /> PROJECT ADDRESS <br /> -t-c U `SO / <br /> c�.r�t'�-1���-in.� s�a a ___3.3 �.� ,�� L��_�._ 3 �-�y ' <br /> Owner Mail PddresS City Slale/Zip Phono <br /> -.���P�' �r�ur�-� i <br /> Tenan� 1.1ai1 AaNess Clry ;t,dei7_�p ,��� Phone <br /> ��A�n .��.�—�.a� r�v �a.U�-�1 ��ad�. 15��-- <br /> ElecldcalCpntr3ctor MailAtlwrss Gry St�ieiZip Nhone <br /> ���/s.rl Y 1 �l� <br /> Slutr. Licensu Number Conlf3dl PriCe Uf Work <br /> PropuseA U�uf Nuildinr� Cantact Persnn (PI3t� Revipw) <br /> Desr.ription u(Work lo Be Uono: ��� T�S?` �G�_ UM 1�O'�.0 � �n.��- _ _ <br /> -- --1��.�.Ll�,i�T�L.(�u��� CO�G�'10�e�!P � _ <br /> .�' c�V . �C1�.. —Q�7�1�.�'. /,cl.l'Pt�'Tol� _- - <br /> NO'(E WIRItJG IN NOIV-DWELLINGS IS REQUIRED TO �FEE <br /> BL IN R.4CEWAYS, MC OR AC GA[3LE. -�J �r 0 � <br /> � ,U <br /> CIiY OF EVERETT LOCqL SAL[5 TAX CODE IS 3105 �— <br /> iI hore0y certify fhaf 1 havo ri•ad and ux.»nineJ this apPlrca�ion nnt!rcnu�r fho sarne ta bo true and <br /> corrnc(. AI!µuvisi�in5 vllan•s anJ uNinancns�/oveming(INS lype r.!wUrk �vilf be cprtryleted <br /> wheVier spoalieif hen�in er no1. iho pranlrny of,pe�m�!dnos nu( �resumrd fo(Ove aufhwiry to <br /> violafe or cance/Uie piov�sions ol eny ether'sfafe orloca!law rr.pul�tm�cunsfn�ctiai ur tho <br /> pOrlp�nla0re pl C ns�iuction. Thsl I am puthoiiled Ly the otrner e/(hrs properfy lo peilorm fho <br /> wo�k for�vhich plica(rai is matle dnd I comply with 1hV St�fe Con'mclo�s Law 18.27 RCW anrl <br /> 2'J(i.200 WA <br /> C � "' \ <br /> .. ,i9naWrc -_ ". Unle� � ! �l'�� ��0� <br /> � �� � <br />