Laserfiche WebLink
06l2312015 15:08 5095356598 ffN� P.0021002 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERET7 PFRMlT SERVI�ES <br /> 3200 CEDAR STR�ET, EVERETT, WA 98201 <br /> 425-257-8810 - FfUC 425-257-8857 -www.overottwa.gov <br /> (o --1 �1� �s <br /> L- ISOC� � ► � �{ <br /> /S"�s�"9�✓D /1?�ti� �� � • - 3�-12,�1 l�"' St, <br /> PROJECT ADDRESS <br /> ,��r �--��-�- � <br /> Uvner Meii.�ldrnea � Clly Stote2lp ahono <br /> Tenon: Mall Addre+ss City SUIxZp Phone <br /> /✓�,s� CG�,,E/�rn,o 3327 �aL/d� 5.���ar� a/� P9,�-� �o4>�s- � o <br /> ElnClnc�l C011 BCtOf Mall l�ddrers City Slfltc2lp Phorw <br /> �o�J gi2 CE 9,�f Lj/�' <br /> Stotc Llcenso Numb�sr(requiretl) Ciry of Everep Busineas Lirsnse Number(requiretl) <br /> /7 . �./ <br /> !'Os�` - �"d.� �f}/2Ij �yfl ,,s27� O O O - 00 <br /> ProposeJ Use of Bullding Contrecl Prica oj Work <br /> "f�!/� �7:Z.4DL�P�I <br /> .5"o9�3sc�oc7 s��,evB�u.�e.ec� s��iPic. <br /> Square Footage pt rosidantlal new consWction,remodel or additlon) Contad PersonfConlad Nu bed[moil <br /> Numher of davlcas pf IaH volWgo) '�. <br /> DescrlpNon of Work to Ba Done: _j,�[�5 Le�ilt �l�N �r � � ���� <br /> �t!S t=- �S I��� �_�� I <br /> FEE <br /> CITY OF EVERETT LOCAL 9ALE8 TAX CODE IS 31 U5 �y,y,�D �O <br /> w• t <br /> f homby cortfry thaf I havu ioad and exnmined Ihis epplL^nNon nnd know fhn samo fo bo We and <br /> conecL All pmvlslons ollow.v ond onilnances�ovamin�Ihis fypo ol woi�will be complefod <br /> wAofhor speafiyJ l�ernin or nof Tha pm.htlnp ofo pnrm�t daos notprosumo(o give aufho�ity fo PERMIT# <br /> vloloto o�cnnco!fho prov�sians oJ eny olhe�stote oi foa�l lnw ropuleNng construcfion or tha <br /> pedortnonco ol consWcflon. Thaf I am aulhoiized by U.e owner ol lfris propedy fo podonn Iho E 150�- I�I� <br /> Hork!or whrch applicefion is mode and I eompty wlfh thu Sfab Confraclas Law 10.27 RCW and <br /> 296.200 WA�. <br /> - __�y�`'-3�-� <br /> ,Jpnalurx alo <br /> r+�v,scoosra(.vi. <br />