|
Jun. lB. 2014 2:4J°id Sound Szcurity Inc No. 0103 P. 1/I
<br /> ELECTRICAL PERMIT APPLICATION
<br /> CITY OF EVERETT PERMIT SERVICES
<br /> 3200 CEDAR STREET, EVEF2ETL, WA 98201
<br /> 425-257-8810 - FAX 425-257•8857,-';www.everettwa.org , (� �5�1�
<br /> APPLICATIONS ARE ACCEPTEO FfjOM 6 AM TO 4 PM C J�/O6` �1�
<br /> 31 Z��1�v�-rn�t �
<br /> PROJECT ADDRESS
<br /> Owner Matl Addre.s Ciry Stdte�Z�p ��� Fhone
<br /> �• �
<br /> l�SrYla�c►�� ��P✓1,✓�.�q} ,� , _ ��`..�C��.3
<br /> Yen�rtt: yt :y �� ����Q����4�fe 5 � ,�Fj f �y� 4 Clty � c C '�_ ��t �Stale(1!� ti�� �� r• PJ�onc
<br /> , � r i �+.�i� _. �'+M1 . ~ '°� � r;( C .., � . , . �r : , i � .
<br /> ('� /� � '` ( i� �� 4 � I t' � . i ' l � � It . �1 ^ t`(IF.
<br /> �. �P+Ir�V �� � �.(�� �� ..� �� .�� ���� ��� r .i V���l.��.�2o'I `'��-Ll��,�'.�1�,�-, :
<br /> l
<br /> Electhcal GontraC)o' �� 5 .. +� �MailAQtlress°° � � f+ � � .��% � Cr�'71 ^�. 5131erTp :' Phon� , ,;
<br /> i . . 1 ' �. �p � \ �� . .. '.^ _
<br /> T � � .� ��,� If . �
<br /> so�z� �:p ��`���� 1, � � ; _-���: � �
<br /> Slale Liconso Numbor � = Conlra�l ce of Wo�k
<br /> � t ti �� "� . .
<br /> :. � c�'j ` � ��n`ShU�:iX�-���
<br /> Proposod Use ot Building . ; :?. ,, , . . .'" . . . ..- , ` ContacEPer<on ,(Plan Raviow)
<br /> Dascrip4onofWorktoDeDone VO,`I � ��� �1�-tµ�� .���✓Il.-�����.
<br /> . . . • ��_, . . . . � . ' . . .
<br /> _ . ..•. . . � . . .
<br /> Cov1�'�"b l ��' � -� 1'�e�s��, -
<br /> ' NOTE: WIRING IN NON-DWELI:INGS IS RECIUIREO TO F[[
<br /> BE M R/1C[WAY:i, MC OR AC CABLE. - ' �D O j
<br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 •
<br /> 1 he�eby cer6ty fhnt 1 heve iead enrl examined this eppllceNon nnd know the same fo he truo and �' , L� /_ � ! �/„
<br /> ca�rr.ct All provlsions ollews ond ordinonces governinq thls type ul�wr1c will be complofod (j �'� ��J ( y(/
<br /> whotl�vr spocif+ed hcn:in oi noL 7hc yr�ntinq of a pormd dous nof resume fo give aufhonly fo
<br /> violato or cancel fho provisions o/uny ofher sfato or Iocal law reguP6�n consfruction or fhe
<br /> pedormenco of consfiuclion. Thal l am aufhorrzod Gy the owne�of(his property to perform fhe
<br /> worN/or which applicatron is made anA I comply with fhe Sfote Conhacfors Lew 1t3.27 ftCW�nd
<br /> 796.2 WAC.
<br /> � � ��� � �� � .
<br /> Ipnaturn __ � �
<br /> i. _ . �ti.�.' .�. �', . . " .'! `: � ; -� �;
<br /> �,., , ,� �,, ,.,.,, ., t��J ,• s � t i
<br /> �l+ � a :� ' '•. � ..'-r.... 7. 4�• �'�U f�. 'iE n .! ` L ' wi .��.r
<br /> i.r if 7 , ..1. .�--=—�—�.s.l+'�' - ��-,t�� Yon��,1� i u ��.,. > �l r . �. � i + ^.7
<br /> i.�. L'---^".�--�t .
<br /> �^� .I,_l ST 1 1 i ��. � . � r`l ` �r r� �r,*� �,1 �, I ` �` iiR
<br /> �V �_�. y
<br /> te`_ � .. 5; I'��iK:'�ki/'3 �`t�{ ai�.i��,��e���'.*.�''�'� �y�.../^.f�°� �'� i y.'1��_��-�---Y�+���-a �'1 T1
<br /> " .. r�: , _ ..� ...:.5, �:� t. ..'�:��.�, tE�..4�w' .:Jr.4� ., r!.��..� 7�., � Y .. Y. .� . ,, .. . � �.�..i .
<br />
|