Laserfiche WebLink
l� <br /> 1 <br /> ELECTRtCAL P�RMIT APPLiCATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, \NA 98201 �7- `�7 `b5 <br /> a25-257-881U • FAX425-?_57-8657—�nnvw.everettwa.org ��c,� Z`D�f ' <br /> � �j <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 P�S <br /> I <br /> � <br /> ` iD�l�3 1�I�l��l� �-� ��- �1����-1-- u» ��� o� ' <br /> PROJECT ADDRFSS <br /> N��TT�l_U1�—��-� L �sl�ll�� !�5 ��1'Z�JC_LT- dBE�'`�����`� <br /> Owncr 6�ad Atlarc;s City Sta�e2ip Fhone <br /> �-'rz�ce���mE� �/�-���� �-S ��c�7-�Lr _ , <br /> Tenant I1au:.Oness Ciry Se�tu2ip Pncnc <br /> �.i nri�' =c .-�I�, INc� �]o�r���t�,��� ,Siv'vNcrni.Ii� ��:,-�yc s���� <br /> [IeancalConVactor Mal�lvlare:s Cny S�a�erzip �n�ne <br /> �l�l�� ������ _ �.�.�—'� c".� �/����'lll��) <br /> SI:WtE License tJumber Conlract Price of Work <br /> �i����ti I�A L �T�� �" i����r� - I <br /> Proposed Use oll3uilding Conlact Perwn (Plan Review) <br /> I <br /> �.��11�t� �c'�1�(}�� �C� C11�E. DU���S 5 ' <br /> f?escripGon ol Work to Be Done�. � <br /> �-E�l�'Tl 1�l E? (,L/1r'l I• <br /> ! <br /> NOT[: WIRING IN NON-DVJELLINGS IS REQUIRED TO FGG � <br /> 6G IN Rr\CEINAYS, h1C OR AC CABLE. � <br /> I <br /> CITY OF EVERETf LOCAL SALES TAK COOE IS 3'I05 ! <br /> r t <br /> I heroby certrh�(haf!t;ave mad and na.amirred rhis appLcafinn and know Met same to be hve and r��, I� — � J� ( <br /> crorrrr.t AI!provisicns of In++:s and ordmanct:s govamma�his ry�/xa ol work�.vil!M mmplvtr�d �� <br /> whr.tltcrsPe�ed hcrz;in c�not Rtr.gr�ntm�ef a pemrd dcos not pmsumr.to�rvp aull;onfy(o <br /> viofa;e or u�nr,e!fhe Urovisions o(�ny othvr slale n�1oc31law regulaGng cons!niclion or the <br /> p�Ccrsmrrce n/cnrrst�vcfion. Tb�t I am auflrorrzod 6y Ihe ownerol fhrs propery fo pr,Aam�;Y.e <br /> �co�k lor�n•hich a�pGe�fion i�made and!cempfy with tho State Conlractors law 70.2/RCLY aul <br /> 296.?00 WAC. � <br /> L �/J�� � � p�T. <br /> �-;C-`L L e�L ' ;I!� _—�'i /� �.� <br /> �ipnalurc oate <br /> �: <br /> i <br /> � :f 0918i,980.9� ou� ou�oai3 .iopu�o� d6b Z0 60 80 ��CJ <br />