Laserfiche WebLink
03/11/20�3 !0: 31 4254885'L88 PFGE 02/02 <br /> �--- <br /> ELECT�iICAL PERMIT APF�LIC�4TIDN <br /> CITY OF EV�R�T�� PFRMIT S�R'VICES <br /> 3200 CEDAR STREET, EVERETT,WA 98Z01 � `��,-0 7r <br /> 425-257-8810 • FAX 425-257-8�57 -w�+�w.everetlwa.org �'0 3��' <br /> APPLICATIONu ARE ACCEPTED FROM fl AM TO 4 PM -_ _i <br /> r II <br /> IDz��- !��' .�ri� 5� � <br /> PROJECT ADDRESS I <br /> State2ip Phcnc <br /> ti,�u Aoa«.a c�'y ��_yS"3 <br /> Cwner �vgy� <br /> t 9� �1% st: w�a- 4F�2o� Zz�r� ,� 23a•a- <br /> ��I��S� �� J Z } S�alel7.iP Phono <br /> Tc�iant <br /> hleil Addrass C"Y 2 S3 <br /> �fG+� <br /> � IIf3L r%. i�iKp�w/ r� dlte,�' P,:i7ft-y� �in. ��r���� li}�' Phone <br /> /�cY lri.�cti'i7,.� S�-'�3Jic.cj �.tY S�atc2�p <br /> � MOiI Address <br /> E�ectricai Contractor <br /> JD Ua� <br /> ���l..�-y1�f•$'ZiJS ContractPricEafWork <br /> State License Numbet . �,_���,,{ <br /> P��" �-x Zy'�-3 } <br /> Contact Person (Plan Review) <br /> PropOsed Use of Building <br /> �escription ot Wod:lo Be Dane�. _, <br /> jr�s��9�- s�z«rr� � c� Sys;z�S -- <br /> <3v Devi�e5� ^. <br /> NOTE: WIRING IN NON-DWELLINGS IS REC2UIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETI'LOCAL SALES TAX CODG IS 9�05 <br /> I hereby certiry thaf!have read and pxamined this appllcation and know fhe same ro be buo ard <br /> cormct. AI!pruvisions of Inws and ordinances govorning this rype ol mork wiq he campluted <br /> whr.thor;peciGed lmmin or rof. Tl�e oranfing of a po ,md Coos not presumo lo oive author/ty to <br /> viclateorcnncclfhe provrsionso(anyotherstafoeNocsllawmgulsfingconsWcGonorthe <br /> peAormance uf r.onstrvclien. 7haf!am eufhonzad by fh,e owner o/th�s propeRylo perform fYe <br /> wod�for ivhicl��ppllention is made nnd!comply ivlfh the Sfafe Confrc(ors La�v 7d.27 RCW and <br /> 296.200 WAC. <br /> �� � �'1 � <br /> �,�-�-�--���.V 3/„ �o p ��G�� - <br /> \Sl9fl�tute 08IB <br />