Laserfiche WebLink
FEB-28-2�05 13�19 360 757 03y7 P.01i�1 <br /> ELECTRICAL PERMIT APPLiCATION <br /> CITY OF EVERETT PERMIT SERV(GES <br /> • 3200 CEDAR:TREET, EVERETT,WA 982C? <br /> 425-267-H810 - FPJC 425-257•8867—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROhR 0 AM TQ 4 PM -DEBIT 8 GREDIT GARDS ARE NOT ACCEPTED <br /> ln �o o - .M•vVv� �1 �,� c K !� c�v►2 �v a�� �i d�j . �- <br /> PROJECT ApDRESS <br /> S� � N T� C� � 3 0 l� - �- 15k* 5� ,SW M-1.�tiTcnfat <br /> Ownet MailAddta� Ciry Statel7Jp P�e <br /> �� -'l�5-� <br /> Tenanl MeilAtldress Ciry StitaJZip Pnone <br /> N a �h w�S� �c l c,c-h� c.n.� S��v� ��5 P 6 (�mt ��-I gu�r�+� r�,�,m� w1�— <br /> E�eariul Contractor Mail Aadrcss c�y sta�emc�8�3 3 ����°j`�'°yt 3 3 <br /> le b 2- - 6 � o - 15f� ' NoRThes�A�c� �� �oo . oa � <br /> Contr2ct Pnce of Work <br /> Stata License Numbar ��,�,-rj� <br /> � wt v�n � e � � �u.�� 1 r� � �;�a !� n f�, cc nt ���l- � � <br /> Propo�ed Use of 6uildmg � Ccntact Person �Plan view) / C„��,y�n <br /> w�qV <br /> o�wPdo�or we�x a ee oono: I � 3 D /� vt� � � il � � �1 -�� � �-�"E o 1L�� 12��-t�.l.31� A.bl Q, <br /> ar,� 2u o�w.p �-o � v �� � - +� Fe� r�rn YY�a ��h��, �u av� P - �.n e �,' <br /> o, r�,� S� ,C w Jv�i1 �,r e v.,�\ -v�4 - �j n IA�w�r s - {��n c,L/` �o D S� <br /> �j Y-p, h 5 � oY vrat�8 a o �v�.� —a-a o v Q \�` <br /> NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO FEE I <br /> BF. IN RACEWAYS, MC OR AC CABLE. � <br /> ��'�7 � , <br /> I CITY OF EVER[TT LOCAL SALES TAX COOE IS�705 � <br /> !�eretry ce�tiN Mat 1 have road and ex�minad this appiicallon and know tho same ro be Uue antl <br /> corroct. A(I provisions o!laws and ordmancos govoming thls type o!work�ni!be complefod <br /> n'olete�or can ael Me prov siuns�ol any nther�tate or lael daw reguPahnp oensvuc6on orrtne to � <br /> i <br /> peAarmanco ol mnshuctian. TAat!em suthonzed Dy the oH�nor a�fhis roperty to peAorm fhe jlI , <br /> wolk lor which epplication is metle and�canpfy with tha Stata ContrecPors Csw 78.27 RCW antl , n� � � <br /> 296.200 WAC. /�1/� <br /> a — �� — v5 -�`� <br /> a � ate -^ <br /> TOTA'� P.Ol <br />