Laserfiche WebLink
Ju1-20-10 03:05P <br />ELECTi�ICAL P1=RMIT APPLICA <br />ciTY oF EVERETI' PERMIT SERVICES <br />3200 C[DAR STREGT, EV[RETT, WA 9B201 <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />APPLICATIONS ARE ACCEpTED FROM B AM TO 4 PM <br />II��G l/i /Zr� ��vr�- <br />PROJEC7 ADpRESS <br />Ownvr <br />Tenant <br />� �-�. /� ,� G V� <br />ldall Addrcss City <br />� �taii AddroSa Cdy <br />P.O1 <br />oCJ � <br />���_ <br />9��� � <br />Slatc(Zip Pbono <br />` Slata2i0 (/� p Phone <br />l� L l�l 'G� i7_� �(�, p/ �c U.�1� U ��_ dUl aJ'`�j,�%H / <br />EI�CIfiC31 ConIr�C101' hlall Ac�tlress Gly S�nte/Zip Phone <br />�.x.�1S/ y � L /> .2 "-�Sa,d - GuNf'Fu3,ln/k'� oFC,4.ryS' <br />S�ato Liconso Nmnber Contrad Pdce oi Work <br />��/ L <br />Proposed Usa ut �ulldiny <br />Contacl Po�smi (Plan Revlew) <br />De�cription uf Wark to De �onu: !�[�f ��/IJ�L��'�G Lr//'�$ <br />�-- -. <br />NOTE: WIRING IN NON-pWELLINGS IS REQUIRED TO FEE � <br />DE IN RAC[WAYS, MC OR AC CADLE. � G, � <br />�v <br />CIT1' OF EVCR[1T LOCAL SALES TAX COUE IS 9105 —" <br />1 he�aDy certify (liaf I hnv� �ead und oxarnlned this application aiod imo�v fhe samo fo be truo and <br />coned. Alf pro��i;lons o(laws and orViimnces goveiruny thrs type c/���ork wlll6e cornp/efed <br />�+'he(he� sp�ci!!ed he(rcin enloL Tho gr,�nLnp ul a p�vtn71 tlues not 7tesumo !o plve eutho�l:y fo <br />pe�lom s� co ol co�ns(1uCllo�inihal,f arRta�ulhunzirdb} tl n�o lner�effhi$��openy f�uP�eNon�n Uio <br />wak !o� ��hich opplrcatipn I5 nradn and f oomply uitlt 7hc Shtfo Ccn'ructors Law 7&27 RCW end <br />296.2001tAC. / / <br />