Laserfiche WebLink
'!.r 1 2'`1� ll''�).A61 <br />�! r, .`� `. c i { L <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREEI , EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — vnw�.everettwa.orQ <br />1i-i; �YIIJ,�Ii:� � <br />I PROJLCT AODRESS <br />Owner <br />Yenant <br />El�clnca� Convac!or <br />� �,S HTc�s1�i9�p_iL <br />Slate license Number (mqwred) <br />� ,�eS�a.�U,tt����l <br />� Pwaosca Usc ot Bui a��g <br />raad Acoress <br />Mgd Atl:rc:s <br />Ida.� Acdms: <br />� Squore rootoge (�f �cvidemlal n�v prsL^.�cticn. rerccAr:� or adtliticn) <br />� <br />� NurnburOftleviWSQ(IowvO'.W3e) <br />Desa�pE�n cf Wo�k to Be Dono� <br />CIIY OF EVERETT LOCAL SALES TAl( CO�E IS 77t16 <br />Ciry <br />C.ry <br />Sia�xZp <br />S�atazca <br />s:a,Gz�� <br />�ncnc <br />Fncne <br />olqt�eS� <br />C�;� cf Everelt 9usiress Licensa Numcer (rnqwred) <br />��.v_� <br />Ccr,Va:t Pncc ollVcrk <br />u 2��:-u �Oa. <br />Co�Wct ersoniConta_". Numbcr!Ema�i <br />. <br />I hereby cdrGfy fhaf I h&ve ryad and exnm`nr.d fhls npplicafron and l;now Uo sam,o fo Do Iruo and <br />coner.t All prows�ons o! lak5 and ordmancos poremmg th�s rypo of n�ork NaU te completed <br />wUe!ho� specTod hmoin or n�t. Aie ginntiny ol a po�m%t dxis not prcsumc fo pivc nuthonry fo <br />vio'ofo u� eancel tAu provis:ons uf any other s�um or leenl le�v rc6ulnhng eonshucf�on or fhu <br />pertrnmonce o/ oonsUac6'on. Pmt I am auNonzod by fhe ownor ot this propary to purlorm fhe <br />�vork lor vihrch applrcaAon Is mada and! compty �rR� !ho Sfate Gontracrors Law f0 27 RCW end <br />296.TW WAC i <br />nrns�oti:aK�. <br />FEE <br />� �' �c� <br />PERr.ltfn � I <br />E15o5-vo�f � <br />