Laserfiche WebLink
moaziaoz <br /> 01/22/^_013 xuC 7: 57 PAx "- - -----` <br /> �d.� o� �-v pe����� t � � i� o � - �oz <br /> ELECTRICAL PERMIT APPLICA710N <br /> , CITY OF EVERETT PERMIT SERVICES <br /> I 3200 CEDAR STREET, EV[RETT, WA 98201 <br /> A25-257-8810 - FAX 425-257-8857 —www.everetlwa.org <br /> IAPPL�CATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> I <br /> �J� � �u S,�G 1Z-Q f}\� <br /> � PROJECT ADDRESS <br /> IC���� � O— <br /> ��S-� � ` � S1'1�2P ��/C� �v°�P-I'—�- l�fl �`�Z��J U�S�o <br /> � Owner P.1aii Address Cdy StatelLp Phonc <br /> I \\ / � \� // <br /> � T�naN� / Mail Address Cily S�ale.�Zip ' ^ `P�hone <br /> �' �S YU� W�S�� p ��A' � U� � <br /> C�CC.'1��C `�Z� S S�-a�t� S-1" J�Gu--I�t�o I.e)�1 �I`�1��-P ZSZ�J ' <br /> Eleclncal Contractor h7ail Adtlress Cuy SlatelLp I hone <br /> � 5`,0�R� � �l 2�1�1 �/1 � 3 O o 0 <br /> Stato License Number Contract Pricu of Work <br /> I �Si��� � � ��C,'�'2 ( Cr,� I I�GtV1 � ���� �✓1 <br /> � Preposed Use of Building Contact Person (Plan Review) <br /> Square Footage(II resiaenlial new construWion,remodcl or addilion) <br /> � � ;�C�. 1 n�'J - <br /> Descnptian of Work ta Ge Done: <br /> �� G)ZC,��-e S �Z� i Ce �--call�l ( U�l� �1� ZO 0 cti <br /> � �--� � <br /> �i tJOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br /> FEE F�,i� ' � <br /> 6E IN RAC[WAYS, MC OR AC CABI[. --�� <br /> f eL$ CD,JG.eGfI U-vu�eo� <br /> . CITY OF EVERETT LOCAL SALES TNC COOE IS 3705 <br /> i <br /> � I hemby certi/y flrat 1 havo reatl and examined this appliwtinn and hno�r fhe same to be true and <br /> coneG. All p�ovisiens o!la�vs an�ordin�nces yovermng this Iypo of wo�.k will be completed \ I <br /> �vhepsr specd�eJ herein or noL The gran6ng oIa pen,vt docs nof presumc fo give au(ho�ity fo �V� Q f.5 � <br /> violofe or can,;el Ihe provisions ol any ofhar sfafe or local law regulating cons(ruchon o�(he <br /> pedannance o�cansuucfion. That I arn au(honzed by the owner of this property to pedorm fhe � I�D � <br /> � r;ork hich apphcahon ade m�J I cen,pry�vi!h fhe Slate Contractors Law 7827 RCW and . � 0� <br /> 23 .IOO l C. <br /> � - - 1� � � �� <br /> � 5�9i�aWre <br /> �� <br /> '_"_.. ^I <br /> .. __'__ __ . _- ____ <br /> ___ --_-- <br /> l� <br />