Laserfiche WebLink
�—_. <br /> � � -�- <br /> i <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 37_00 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425 257-8857 -w�.vw.everettwa.org <br /> lo - ai -iy <br /> C�y,�--ou <br /> 1J_a�3 � � Q u-t �SL <br /> PROJECT ADDRESS <br /> c-��. ��a�,� � �- �,���a93 � �3�1 <br /> Owner ldall nddress Ciry StatelZiv Phonc <br /> Tr,nant nnn��AdOress Guy Slalel2lp Phonc <br /> &wv�_�r, L�a-H r� 4 � ol s�3`�'�' I�L s.�a-I�I-� wa q �el �a ,�oe a�l 6 �ol <br /> EIEUrical C,anpactor Atml Adnn•ss c�ry Si.tciZlp Phonr, <br /> �.�,�.Q�� � �a �a3 � <br /> ISlale L�cense Numbet(requircd) Gty ol Everen Busi�ess Llcense Number(rcpunEtl) <br /> �.� �'3°° <br /> P�oDosCd Use ol Builtling Coniracl Pncr ol Work <br /> ��. .�a_�-� ! <br /> Syuare �Oolaye (If residential ne�v r.onsiruction, remodr.l or addihon) Contar.l pcison/Conlacl Number/Em3il � <br /> Number ol tlCvia:s (If low voliape) <br /> DeSCription of Wvrk to Rr. Done�. �l�� S�� .1 N �T <br /> Y_'_i`— <br /> r-ee " <br /> CITY OF FVERETT LOCAL SALCS(NC CO�E IS 1105 y� O O� i <br /> 7 herCby ceri�ty rnal 1 h,�vc rc�d and exemined fh�s applicn6on e�nv wnow Ihc some fo bc fruc Hnd J <br /> coned. A�i provlsrons of�aws�ntl ordinancCS govrrnin�Uug(ype o��t•Ork will br�cO��ip�L(Btl ---- <br /> w7ielhe�sn��cd�ed hcrefn nr not 7he grantfng o1 a permif does nof pmsumc fo givc au�lronry to PERMIT# � <br /> vwl�ie or r,oncel fhe proWsrons olany o(her slofer or�ocallow re�ulafing corrsliudion nr 7he � I � � � � /_ I 1 <br /> performunce oI consfroclinn. Tifal/am aufhonled Ay thn o�vne�ol thrs properfy fu perform fhe ( �) <br /> �vork lor wry;Ch�ppAr.afron is mritlr and 1 cOmply wdh the StOtC Contraclois Law 19.27 RCW anA v <br /> [9 '.200 4VAC <br /> ���� _��_, � <br /> Siamlurc Oatc <br /> nrv,sc�onr,nc_ — '--� -- -- - —�— � —'—�- -- � � —'--� <br /> t"_ <br />