Laserfiche WebLink
A � <br /> ____________--- <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—�wnv.everettwa o�9 <br /> APPLICATIONS AR� ACCEPTE�FROM e AM T04 PM <br /> t=��o a -�46 <br /> .� ' . ._ . . _:� � � —ab—lu <br /> ;5i�o5 - , �-� g� � � A <br /> PROJECT ADDRESS <br /> � � o v.Ks� Oc ��'�vc,�r�� c, �., m, ya5�3s3 .o �t� <br /> `.,o; (�1.Ulg � q ��Y Ste�erz�p anooe <br /> O�+�M Mad Address <br /> Stale2ip PhonC I <br /> �da�l AaAress �''� <br /> Tenant � � <br /> Q �n /1 1 c �L _ "��n�i ��� F��l�' , � <br /> a � �n r� r� �[A� f tyl � `�n � l � J� � Xx Phone <br /> h1a11�AtlOM6B Ciry S1alP.IZ�p �O�c� �� �,� n O� <br /> Electrical GOn,ractor �r` <br /> �f � ,�a_�'e--� — �o����P3��o� <br /> State License Number `�� A <br /> S�� �1=.--e_ <br /> Contact Person (Pian Review) <br /> Proposed Use oi Building <br /> Descripiron o�Worh lo �e bone' <br /> 1� a � A�c�1�c � s 1�k p�m.�— <br /> IFEE Q� <br /> NOl E BERN�C WAYS MC OR AC CAB QUIR�D TO � � <br /> CI1Y OF EVER@Tt LOCAL SALES TAX CODE IS 9106 <br /> 1 hnmby cCrtily Ihaf/hBVP IOnd Ond xxaminBtl fhi5 nPp��calion 3nd knOwlhB SBma to bP Vu6 dnd � I , r „��I I � / <br /> correCf nll prov�sons d IJwb ond ardmanCes aavCmmg this type OI u�Ofk will bo,romplefotl Ll U �-� 1/J <br /> whclher speafiev nemin or not 7'he granhng o!s pe�m��does not presuma ro g�ve autnonry fo � � l `C <br /> vlolafe or c�ncvl!ne proviSionS Of 3tly oMC�stafe or IOC31 IaW/0Bu/9hno ConSlruChotl or�he <br /> ncrFormance o�construcl�on. Thnt I om authoriied by the owne�o�lhrs pro0erty fo peAo�m Me <br /> wo /Of whiCh dpp/lCBIiOn is m3tlC Bntl l COfipfy�vith 27tC StOtC ConfreCM�S LBw f B 27 RCW and <br /> yg O WAC � <br /> � � `� a� �� <br /> � Signatwe <br /> oote <br />