Laserfiche WebLink
12/02/2005 09:40 3606598578 IJORTHERN LIGHT ELECT PAGE 04 <br />. <br />ELECTRI�AL P�ERMIT APP,LIrAT10N <br />CiTY ��F EVERET7 PE'RMiT SERVlCES <br />3200 CEDRR STREET, EVERETf, WA 982J' <br />425-257-8810 - FAX 425-257-8857 — www.everathva.org <br />APPLICATIONS ARE ACCEPTEb FROM 8 AM TO 4 PM - �EaIT & CREDIT CARDS ARE NO7 ACCEPTED <br />.�' �,� y g r� br L./ ,t 6� > z._.. <br />PROJECT ADDR�SS <br />��r�,, r ,�`� <br />owner <br />ienant <br />lVor�%iern �, <br />'_IecUical Gmtractor U <br />State Ucenae Number <br />�mpased Use of 9ullding <br />Jescription of Work tn Be Dono: <br />Mail Addr?ss <br />Maii Aadress <br />� <br />Clty <br />�`b <br />City <br />s�ateZp <br />stater v <br />Sfat�JZip <br />Convad Fr�ce of YJorfc <br />ContaG Person (Plan Revie�v) <br />JOT't: WIRING IN NON-�JWELLINGS IS REDUIRED TO <br />eE 1N RACEWA'(5, MG OR F,:: CABLE. <br />:ITY OF EVERETT LOCAL F4�E5 TAX CODE IS 3105 <br />hereby cartiiy that ! heve read and examined ;6is appficaficn and kno�v fhe same fo 6e we enC <br />o�rect All provislons o1 faws and oidlnancas govaming thk 2�?e o/ wc.•k wlll bq completed <br />�hether spacified her�in or not. The granNng af a permd does aot resut*te tagrve aufhorlty to <br />iclate or canca/ the provisions ol a»y other state or l000l faw �eguPGng conrtro_6on or �z <br />eAormance of constructlon. ihat 1 am aufhodzed 6y the owr,er ofthls oroperty to perlorm 1he <br />�ork Jor which epplication is made and I comply ��lh the Stata GntotlOfs Law f8.27 RCW snd <br />96.200 WAC, <br />Plione <br />Phot+e <br />Phone <br />; PEE <br />i <br />J <br />�= c; S/z - / �" <br />