Laserfiche WebLink
i <br /> � � <br /> LECTRICAL PERMIT APPLICATION <br /> + C�TY OF EVERETT PERMIT SERVlCES <br /> 3200 CEDAR STREET, EVERElT, WA 98201 � <br /> 425-257-8810 - FAX425-257-8857-wuvw,everettwa.org <br /> ; �Z .���,�( li,. <br /> � I C ! �f � Z ��/ I <br /> I �'� ��, n � • . � ,l 1 , � <br /> PROJEC ADDRES � <br /> Ovmer � � Mad Adtlres5 <br /> �'N Stale2ip <br /> Phpn? <br /> e a,nt � n�' �-� . i ' � � l_, �`/c� I��E�^f��� !'ze �, ��/' G <br /> � MailAdtlress Ci,Y � �i t- d1/'e{ �', (Llff %;� �C � <br /> StatelZip Phone <br /> .1—'�11'\Ul�(l'�' � Ib. � : ¢d: ]STCLI� Z�11C'_ ,.'�S.' .C1S lL+�/ <br /> EleancalConiractor � ' d�� �� i�/� C �! "b',� c <br /> Mait Adtlmss ��N^ <br /> . Stale/Zp Phonc <br /> ���N.,l!.s'TYsr 3 � <br /> Sta(e License Numher(� quired) Cily of[verett DuS�nes; License Number(required) <br /> i t + <br /> 171 :��'l, �-a,ti Y' 3%,�� � I <br /> Proposed Use olBuiltlin i <br /> ConVaCt Price of Work <br /> I <br /> � 1.1Sa�.n.0 �r_r'. -� E�� - .��•� <br /> Square Footage(I(resideAtial new constn�ction, remodet or addition <br /> ! J Contact PersonlContad fJumbenL-mait <br /> � ' C��.3`(OJI—J�5%�S7 OF_(I <br /> ' ;>,aa.. ;r`J!-i3.2G �,j-�-�c% <br /> Numheroidevices(Iflow oltage) •� � , y�•�4 CL.l <br /> �Iltr... . �11Y1:�1�.i.�s7�o'�/ (, � <br /> Descnption o!Work lo Be onc: ���'��f�l-�� �.�.. ��,� �1� :_n , I �� � � <br /> / /"L4�.+ <br /> i <br /> Ff_L' <br /> CITY OF EVERETi LOCA SALES 1'AX CODE IS 3t�5 rOQO <br /> I 1--� <br /> 1 hcreby r.ertily thaf 1 hnve teatl 3nU oxamined Ihis applicaliai und knrnv Ihe samc!o bc Irue and `� <br /> correcl. All provis�ons ot la vs and ortlin�nces govcining llus typa nl work wiN bn r.ompleted —' <br /> tvhCfhr_r spocrficd Itercin o riot Th�granhn,q ol a permlf dor.s not presume to give aufhontylo p[RMIT� <br /> violofe orCencef(he p�ovis� rs of any other stete nrlocollaw 2gu/afing Construclion or lhe ' 1 <br /> peAormancc of cronslaGio ., That f am outhoriTed 6y prc o�mer o/Ihis property;o poAorm the E �� ��1 -O Q I <br /> wo�klur wBich oppGcation i, inadc and l compty wrlh fhe S��(c Conhac7ors Law rB.27 RCW and L- <�� <br /> 2�J6.200 W�iC <br /> `l ` <br /> 11 i�L,.� , ' ` '.ltr i c� ` /U - / ✓ <br /> s�gnature � I � �oatc — <br /> / <br /> NC�'wiCU OCN✓IDIJ <br /> �l � bSCtlG84;9: yaolswels�(gengenouu� d�0'f,OblOI �AO <br />