Laserfiche WebLink
FEP_-3-2004 04:47R FROM:PROFESSr�NRL ELECTRI 360 435 1182 <br /> To:azszs�aes� P.1'1 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT F'ERMIT SERVICES <br /> 3200 CEDAR STREET, EV�RETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8357 -www.everottwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> � �, -, L i��^, p� �, <br /> � t I�'' l <br /> � �0:�- 1 o.r. .1J �� <br /> i PROJECT ADDRESS <br /> ' S�Pu/e/t" fJf/G 26'i'7J- L� .fi�/•�/ .�✓�[/�fl`" l.dl �'J��d/ <br /> � Owner Malll�ddross CIIy SlatolZip Pltono <br /> � Tonanl Mnll Addroce Clly StatoZp Phono <br /> ; �/�1= 33 0-�� <br /> /�r�rssi�o,-.�/ �/P��,� �� f''o�_r �yq /��J,-�� wA 9�3� 3 <br /> � Elactrical Conlractor Mall Address Clry SlateZp Phone <br /> � <br /> ' t'k v�'.r.�lo 7 7�� � �� �r - <br /> li Slato Llconso Numbor ConUact Price of Wark <br /> I <br /> ��cL <br /> � Proposod Us�o(5ulldlnp Contoct Porson (Plan Review) <br /> Descripllon o(Work to Re Dono: �/�s��� �A -1 D� y CO�J l'� C�✓Gc �� <br /> . � �_ .� GJ �s�'J�r�/ ' <br /> i <br /> NOT[: WIRING IN NON-DWELLINGS IS RE�UIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CAOLE. <br /> ��� �j �� <br /> -- ------- -- <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 heroby cariify fhnt I havo rond nnd ex�minod thls nppllcnflon ond know fho same to be Irue end <br /> corrocL �111 provlslons o(laivs nnd ordlnanros povoming thls typo o(work w1/1 bo complotod � � � <br /> � _ , _, <br /> � wheth�r spor.�6ed heroln or noL Tho prenGnD o(n Perrnit does nof presumo to glvo oulhorlty fo �. I �- L - � I LI : 7 <br /> � �dolato or cnncol!he provlslons ol nny olhor stato or locnl Inw ropulof/ng construc0on or tho <br /> pe�fomiance of conslructlon. Thot I am oufhodzod by tho mvner o/fhls�roporty to pedorm fhe <br /> � woAc lor whlch nppllcntlon Is mndo and I comply wlfh fho Stafe Confracfors Lew 10.27 RCW and <br /> 296.200 WAC. <br /> � ��� ,l�'�", �� "�- � - /3 <br /> I � BlpnaWre Dala <br /> I <br /> � <br /> i <br /> I <br />