Laserfiche WebLink
P .O1 <br /> Jun-20- 11 08: 45A � i <br /> ELECTRICAL PE:RIVIIT APPLICATION <br /> CITY OF EVERETT' PERM17 SERVICES <br /> 3200 CE�AR STREE'f, EVERETT, V1�A 98201 �- a0�-I/ <br /> 425-257-8810 - FAX425-:?57-8857 -www.everettwa.org �'�/�6_'�I <br /> ApPLICATI0N5 ARE ACCIEP7ED FROM 8 AM TO 4 PM <br /> S/i.4� �3""' A vr� c� � _ Yql S <br /> PftC1JECT ADDRESS � / d <br /> Puh�u�f�ti��.n.� N�}�ri, .S//s •, "� �W ��, S�f'acr� �13i <br /> Owner Mail Addrose City Stale2lp Phone <br /> Ten��nl Mall Address Ctly Statd'Llp (��� Plione <br /> _�t.r.�.�/+ 1Q��.�G$�—��/,6 / .-�(LcdLi� Fr!/ �`1�� ?�� �l(i / <br /> EleClricalConlfaclor MailAddress Gity Sia�e/Zip Phono <br /> /F1'��tisSiy2 c� _ �Y�'Latw,c�,Mt'cd �.�r�.,�v� <br /> Slate Llcnnse Number Contracl Prica of Wurk <br /> Propo�Buildlnp Conlact Porson (Plan Review) <br /> Doscrlul�on of Work lu B� Clone: �� � lt��,t1S�S�/�C�� <br /> _...—lhr��_�-;�° �i�ir ��rT�"�1�A'-�� �i�r1�� �ct�ar���i�,��s <br /> NOTE: WIRING IN NON-DWELLINGS IS RE�UIRE�TO FEE <br /> BE IN RACEWAYS, MC OR AC CABIE. � / � �'/ <br /> J `— <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 here6y cortl(y lhst I have resd and exeminod Ibls npplrcatlqn and know tho satne to be ttue and <br /> caiecl. Af!p�ovislons of laws anci oNinenc�s�/oveming t!'us type n.'wortc wiq pe compinleU <br /> whc+ther specihed herein or nof. Tho 9ranling u(�Aermd aoos no(p•rc�sume fo give aufhorily to <br /> vioiafo or enncol tlie provisio�i5 oI bny ot7io� stale 0�local!aw rBpulating conshuclial or(he <br /> performance o/con tructi n. 7hflt I am aufhorized by tl7e owne�Cf Ihls piopBrty fa pBAolnl(ho <br /> work ror which app aU !s made anJ 1 cnmply a�ith fho Sta(e Crn�t actors Lnw 18.27(1C W and ` / I / <br /> 296.20J WAC. <br /> � ? � � �D� <br /> nalurn �� al� 0 � <br />