Laserfiche WebLink
ot/ta/�ota �rue ia:zo r,x <br />� <br />_ • <br />ELECTRICAL PERMIT�APPLICATION <br />CITY OF EVEFcETT PERMIT SERVICES <br />?200 C[DAR STREET, EVEREIT, WA 98201 <br />425-2!i7-8810 - FAX 425-257-885'1 — www.everetiv+a.ory <br />j—�7'�� <br />C i 4v�-l��l <br />APPLICATIONS ARE ACCEPTE'J FP.OM 8 AM TO 4 PM <br />�� V� � �c�i1�.1.�Y ��/ <br />PROJECT ADDRESS <br />Tenant <br />Ma�� Ptlaress <br />Ida�� Atltlre55 <br />�oo-/ooz <br />la <br />Cily <br />City <br />st�tcrLp <br />Slatc/Zip <br />Phone <br />Phonc <br />Eleclrical Conlractor M1 i� ss t t Phone <br />��.0 �c�ltf,� U10�11�1D�� �1�� �l�,u,�A.L�,u-{J��' <br />�ti1�Q�OC� a.1`b`�� � ���2� ,v J — <br />S;ale LlcenSe Number Conlract Price of Work <br />Q j�.�\ ���1 °�- �1'yti�List .�Gt;�i <br />Proposed Use of Buildin9 Contact Person (Plan Rovi�!�:; <br />�� 1�C0 <br />uo Foot. go (II residentia( new construction, remodel o� �OJiiion) <br />Descnptiono(�YorAto 6e Oone: x 1'��/ ,1 1��7- lr� �.�I''11 I AY ��• ' <br />r V\/ <br />NOTG: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br />BE W RACEWAYS, MC OR AC CAOLE . �DO� <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 9105 <br />I hereby cerfily fh�f 1 havo reaJ and examined (hls applicahon and know fho samu to bu trua , nd � �� 0 i I I'( <br />correcf. �ll provlsions ol faws and ordin, nces gpveming Ihls typo of work �rifl bo. camplefed � �{- <br />whefho� specified neroin or not The gran�ing oi a porm�! doos not rosume to grve aufhoriry fo � <br />Wolafe or cence! fhe provisions o/eny efher :(afe or local !aw ronuPfing caisfn�ctlon or fhe <br />p wmance of construc6on. Thal ! am n�fhunzed by fho own��i o! this property fo paform fhe <br />� ar lor wh�ch�appficafion �s maAe and 1 comply wdh fhe Sfafo Convac(urs Law 18.27 1iCW and <br />, � 1`"1 � 1'"'1 <br />