Laserfiche WebLink
U9/20i:G13 23 U2 <br />7{(i7 P 091/Oil <br />I ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www•evcrettv�a org <br />S4�Zo _Iz(�c�.��c, �� �z� <br />PROJECT A�DRESS <br />Fr�6�r ..s�tn �vc��er �7a3 �'�� /�Z� �- <br />� � Mall AGdress City Stata2i� P�ona <br />g_�-��r3 <br />��3�R_13.1 <br />�L(('_ <br />Ow�fr <br />iB/1af!l MBdAtlO'C55 Clly .c+idte/zlp / �� NhDnO <br />f12�A�� r.x.�r1� R Js�w�rti ra l�o,�/ �y�_�l/ �/'��C� �S9?!(e� <br />EICCtnrAl CcndaciUl N�a�,l Aodresi c City SlatrJLi� P����� <br />�M./ S'J/YL L,� <br />State l�cense Number <br />��� <br />Proposed Use of Bui!Cmg <br />Square Footage (If residenllal new consvuciion, remodel oi addmon) <br />Numher of devices (If low vollage) <br />.S�oOo C!�(,�Coi.t� f --- <br />C�ntract Pnce of work <br />ContaU?erson (Plan Rov��.ew) <br />Descnption ol Work to Oe Oone: �/Glt-dW�F�� _�/� LU(% _ <br />CITY OF EVERETT LOCAL SALES TAX CODE IS ]tOS <br />1 hcrrby cerDty fAet I hav�, roa0 antl �xaminad this oppliColion ond know fhn samo fo Do trva and <br />comrct. A/l provisions o/laws and ortlinances poveminq (Ms lype o! woik wdl De complate0 <br />whefher specrfiod herein or no! Tho grenfrng of a permrt does nof prcs��mo fo pivo aufhonry !o <br />viololo orcantel the prowsiuns o! any oUio� stafe ar locollew mpulaGng ronslrvchon orlho <br />peAormanca ol c nsfructinn. T�at I am authonzod by O�e ownerollhls proparry 1a perform Iho <br />wurk lorwhich plication Is mndc end I c�mply with tho Sfnto Confractors Law 78.27 HCW end <br />29G.200 W / . <br />� <br />Rf v15:1112Ja ] <br />FEE �, <br />Sa �° <br />�PFRMTTtt <br />E � �J�� - ( 3( <br />