Laserfiche WebLink
MRY-26-2004 04:15P FROM:PROFESSIONRL ELECTRI 360 435 1182 �:4252578857 P.1�1 <br />� <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-SB10 - FAX 425-25"1-8857 — www.everettwa.org <br />APPIICATIONS ARE ACCEPTE� �ROM 8 AM TO 4 PM <br />/QS�� /✓o�fh /�or� <br />PROJECT ADDRESS <br />6 --� 3 -� 2 <br />� � �G --c�6a <br />�D.e�PS �nurr/•G�% /O.J—�/ /1�oi��, /�e//� C���orr c.�li `j��03 <br />Owner Mall Address Clly Slale2ip Pliono <br />Tenant <br />Mail Adtlro55 <br />f'!'o%ss i:�.�� / y/ee 1r. � ,.1 <br />Eleclrical Conlractor nnn�i Aedross <br />1�d v�C � o ��x�. <br />Stale Licunse Num6er <br />R �.i����hC Q <br />ProposoA Uso of Bullding <br />Cily <br />Clty <br />s�iorzi� <br />Jsl , <br />Slnlo2ip <br />Conlract Prlco of lNork <br />Contacl Person (Plan Revlew) <br />ri,o�o <br />�i,1— <br />nnono <br />Dascriplion of Work to Oo Dono: �� r p � O a O�_� �„ e� i r, r f i/ <br />3iu /� Iyi���/ 1�oJ�' 4�7��/ C/ �i J Ih i�oS/' � <br />i -i � _�Ol�� <br />NOTE: WIF2ING IN NON•DWELLINGS IS REQUIRED TO �EE <br />DE IN RACEWl1YS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SAIES TAX CODE IS 3105 n <br />I hereby cortily fhaf 1 R�vo rand and ezamined fhls o,�pllcolion ond know Ihp somo fo be Irue nnd � �7f �"' — 0`�0 <br />r,onr,cf All provlslons o/lau•5 ond ordln�ncos povemin fhls fypo o/ work wlll bo complolod <br />who(hor spcalled heiefn or noL The granfing ol n pomi�( does nol �resumo lo plvu nWhonty fo <br />p�oAo menc��o% co�nSl ir ictfon ��71�af1 am e�ufhor�ized Ay (ho/otv o�o%Il�ls �ropoKy (n poAom� fhe <br />�vork lor which opp/icoflon Is mnde ond I cornply wlfh (hd S!u(e Cunlnmfo�5 LOw 10.2! RCW encl <br />296.200 4VAC. <br />