Laserfiche WebLink
APR-24-20�38 23:54 From: To:2578810 Paae:l�i <br /> �LECTRICAL P�RMIT APPLICATION <br /> ClTY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR S7REET, EVERETT, WA 96201 �...a 5.{��i <br /> 425-257-�E310 - FAX 425-257-6857-www.everettwa,org � <br /> E OgGY�.,lS <br /> APPLICATIONS ARE ACCEPTED FROM e AM TO 4 PM <br /> �3�� — I 5� �+�r�Q� <br /> PROJECT ADDRESS <br /> Cles�v�r.e.� `��� . <br /> �'�'l�c�'S 320� — 15�' St � F�/.Pt'P�-�`, . Gt� �I�Z01 25�� <br /> Ow�C� � MoilAddress City SlalolZlp Phone <br /> �(7lN � �L/ <br /> T9nant ;1,aIlAdOroee Clly 9lete/Zlp Phono <br /> s�ni�-ro � �;�U� '�, ,���I ��.�i�rnraSr�� �'�er��t , �.Uk 1�201 <br /> ElectricalConlrnetor MallAddres5 Clly Slele�7.ip Phone <br /> �oN I i�-�9�� b '7 � 0 � <br /> SWte License Numbor Controct Price of Work <br /> I,�e.�61�e �a �° C�e <br /> Proposad Uso o— f� Contnct Person (Plnn Review) <br /> Descrintion of Work to �e Dono: Wvv Y�/ !� , ��P����/I � �,J�� <br /> � <br /> v� — P,vi ' <br />, ��d'��f - 15 4 <br /> NOTE: WIRING IN NON•DWELLINGS IS REqUIRED TO FEE <br /> BE IN RACFWAYS, MC OR AC CABLE. <br /> CITY OP EVERET7 LOCAL SAL[S 7AX c.qDE IS 3106 <br /> I hereLy cerlify thnf I hove read and oxarnlnetl tltis application antl know fho Seme to be true and � <br /> conocC AU provisions o!lows and ordinancos govommg(hrs lypo o(woM will be completed <br /> �eho(ber speahed hyroin or noL Tbe g�antinp of a pormd doos nqf prdsumo(o pivo au:honty to ^ _ ,� n 1 � <br /> vm�ate or cancol(hv p�owsions ol any othor sfate orlocal iaw ro9ulaGng consf�uction or(he / /A U Y �C�� <br /> podormanco ol canshuction. That 1 am outhodzed by tho owner of�h�s piaperty fo perlomi the l�"`�— ^ ' —y� <br /> w�ork for which appficafion is made end I comply wlth Ihe Staro Conhaclors Law 18.27 RCW snd V'� <br /> 296.200 AC. �ro ip v � <br /> l <br /> . ,�' � w �`� <br /> neture o�� � �`� <br /> v <br /> .Eo����l-15�1 <br />