Laserfiche WebLink
'�lai 27 09 OS 19a Aii V�lagnar 4259675120 p.2 <br /> ELECTRiCAL PERMIT APPLICATION j <br /> CiTY OF EVERET'T P�RMIT SERVICES 'i <br /> s"Z00 C[DAR STREET, EVERE�f, VVA 982i7i + <br /> 425-257-8810 - FAX 425-257-8B57—�^nvw.everethva.org <br /> APPUCAT101lS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> �,�7 rti.�(��— <br /> PROJECTADDRESS <br /> ��i ��.z.•JLr'S 3:�r:� ��.,c �=�-r �ZJ,ri�r_.TC �I�'-u�r �I��� �S9 Sl�� <br /> Ow•ner Ncn�Addicss C�ry SlatclZlU F.`.cnc <br /> ),l�� {�v uJulo�,r�� 5TU-rvf•,E 7U=7 14r�L.c✓� E J.c_yi"� G'6''.-C� "�Za ZSy SI� <br /> Tenant htaililddre:s � G�ry stat�Pip Phonc <br /> L3LL�t=r�r._ 1�=,� Su�:��� �ti n�r,���?�tT,F���.: ti� )�� ��r�sis�7r� <br /> Gedrea�Conlractor Maillald�r,,,s Cl�y siatM2+p Pr.v:ie <br /> G-7 tL�C S ��er�'! -7 �i 1��.3�34_ — <br /> State Li�=ensc Numbet ConVact n�ot�Vorti <br /> ' � � �{'��..5�>��2?i <br /> Provosutl Use ef Builc�na ror�act Pe�so (Plan Reviev:l <br /> Destrp;ion of Woric lo De Dano�. 7 5 �1�n i)� r<:-��r�i <br /> � <br /> II <br /> — — � <br /> NOT[: WIRING 1N NON-DWELIINGS IS R[QUIR[D 70 FE[ <br /> E�E IIJ RACEVI'AYS. MC OR AC CABLE. <br /> ���5 I v � <br /> CITY OF EVERETT LOCAL SALES TAX CODt IS 3105 <br /> i I <br /> 1 A�reby ceCiiy L4nf 1 havo road and erammed llu's appiicat/cn and know U;9:vmn tu Lv Irve ard �UC�C'�J 3 �) <br /> cor,rycf AC provisfa�s ofla�vs arM ordinance5 gcvorr,ing tlri5 tyW ol w,rk�rrAoe.cromp;efad <br /> w:raU.�er speul,cd heroin or noL Th,e grsnbng of a permd does nof p2suraa lo prvr.aulhnnry to <br /> vrololoc;r,ancc/�:�epruws+onso�anyolherstotuarlccali��.vie7um;my cv.as;mcl;onorfne <br /> ROAOIl71?,9C�OI CDli51fUC110A. I�73�I 3R7 aL�hJAZBd Dj�ili0 O'A'f12!C�Lhis prcPvr'y to Fe�1cm�Ihc <br /> '�ork(Gr w.h�ch apFbc.�ticn i5 ntaon anC:cnmply wi(h tho Slaln Contractors Law 79.J RCV✓pnd <br /> � 2:+6.2p911�AC. <br /> � � , r <br /> Lt� l�k�^',�-�,��,.��y- �-'�, <br /> Smnalu�o J � ' ° Daic <br />