Laserfiche WebLink
U2/11/2��9 �9:38 2065465719 SHORELINE FIRE DEPT PAGE 01/�1 <br /> � <br /> � <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SEI2VICES Z-�i-o 9 <br /> 3200 CEDAR STREE7, EVEREiT,WA 98201 L� � q��Z ,.p(�� <br /> 425-257-8810 - FHX 425•257-8657-www.eJerettwa.org / <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM�T'O 4 PM <br /> � <br /> J / 2 3 �2 v�E.� ��. ; <br /> PROJECT ADDRESS <br /> �A� /��4-LG //Z3 hv��c� ��/� (,.�A- c',QZd �bL 3 <br /> Owrtef Mall Addr05e ; Clry � Stalo2lp Phone <br /> i <br /> ���� � , <br /> ,_ <br /> T�nant IdallAddf268 , Clry �� StntelZip Phonc <br /> ��� ` ' � <br /> El�qriCalConVOdOf MallAddross City �. Slata/Zlp Phane <br /> /��� E d G✓nl� <br /> Slate Ucense Number � � �� � � ' - � CenVnet Price ot Work <br /> �N��� G/,��/� k�slr.�,�� � <br /> Proposed Use of Building ' Gontact Person (Plan Revlew) <br /> �esalptlon of Work to Be Done: �EP�E. �7C�ST�/�j El- ' IG�J�'rsV6L w/ / y /1 <br /> .�/�i,,� 2�A-w�P Pi�-nrF � /�dct /ob /}m/' Sv� /��'F� 7v D F�w <br /> ��9�. <br /> r ,-- <br /> NOT[: WIRING IN NON-DWELLINGS IS RCQUIRED TO I FEE <br /> BE IN RACEWAYS, MC OR AC CAELE. � � S �/ <br /> CITY OF EVERETT LOCAL SAI_F6 TlUC CODG IS 3105 <br /> 1 hemby ceRify fhat I hovo reotl and oramined fhls eppllcatron end hnow tha seme fo be hue end <br /> co/rocG All prnrovisions o/laws nnd o�dinancrs go�romirg this typu of wor,c wiil be comp/etedI ^, <br /> whother spocrhed heroin or not. The,aranGng of a/�om�d rloes notP resumo to grva authority lo ( / <br /> �4olnlo or cancel!he provisions o!any olher sfsfe or local la�v mgulating tonstrucfion or fhe I �X <br /> podormanco o(conslrvcfion. Thof f Am outhonzod by thu ownerof fhis property to peAorm fhe n V <br /> Hrork fur�td�hh opplicatron ls matle and I comply m-ifh tho Stafe Coneraciors Lew 18.27 RCIM,and / � <br /> 296.200 Vl'AC. ����� <br /> ��v-� .��i� IG � <br /> signnture De�e � / <br /> /��.�i s� GA�-[� �c.��. <�� ,.��d,�.,., ;T7 0�./ 7�' P�j <br /> F��2 ���,,.�, T �S_ <br />