Laserfiche WebLink
oi�ao�zoi; oo: o; F.ai �°02 <br /> ��--- — <br /> _�— <br /> ELE=CTRICAL PERMIT APPL.IGATIOIN <br /> G17Y OF EVERE7T PERMIT SERVIc:Es ,� ,.as-o � <br /> 3200 CEDAR STREE7, EVERETT,WA 98z01 �D7Dyr�•�I <br /> A25-257-8810 - FAX A25-257-8857 —wvw+.everettn a.org <br /> APPLICATIONS ARE ACCEPTED FROM e AM TO 4 I'�__ _ <br /> .���� �.�,Ix�rd �/�- q��p I <br /> pROJEC7 ADDRESS � /� <br /> � , ���� �U �I .'I Vl <br /> �OI O ��S _^_ Slal— e2iP Phone <br /> �1all Aadress <br /> City <br /> Owner <br /> Slele2ip Phone <br /> --- ciry ���'-�-us.+�`� <br /> 7enant Mall Address �� _ , � _ <br /> i . l t . \/1 I A <br /> �11C - �� <br /> � • ' -�' City Slate/ZiP J ���b� <br /> I� Mail Address � <br /> Electrical Con; lor � <br /> n � �!� � �'(�l 1 Gon'fa��of Work <br /> State License Num er <br /> i''— <br /> � Cor tact Person (Plon Review) <br /> �i Proposed Use of Building � <br /> � �O � ��� J <br /> � Description of Work to Be�ono; <br /> I _ <br /> i <br /> I <br /> � " <br /> �-- <br /> �� FEE <br /> NOTE: BVERN�C WAYSWMCLOR AC CABL��IRED TO <br /> I <br /> CITY OF EVERETT LOCAL SALES�iAX COPE IS 31�cafion and know the same to be trua end <br /> I hareby r.ortily that I have read anB oxamined this app � ���'L� _ I � I <br /> correc[ All provisions of la vs and ordinances govoming this type opf work will be,completecl / <br /> ' whethor speci�ed herein o�. ���o 8ny oth�e�r 9tat aor�ocall�aW rogu/af�g consfrucflora orhthey�� <br /> � vinlala or cancel t , 7haf I am authonzod,by�he ewner o`fhis propeRy to Po�orm t ie <br /> performnnce of ns�n�cq <br /> �, �york for whicn ppllcati� made and 1 compry�N!P� tho Stafe Conl actors Law 1827 HGbV and <br /> � 296.200 WA � <br /> �—� � � - <br /> 5ign ur <br /> �_—_�- _— <br />