Laserfiche WebLink
J6/18/2012 xON 9: 15 enx mOd3/005 <br /> � � J <br /> ��� � <br /> ELECTR�CAL PERMIT APPLICATION <br /> C17Y OF EVERETT' PERMIT S�RVICES <br /> 3200 C[DAR STREET, EVERETT, WA 98201 <br /> A25-257-6810 - FAX 425-257-8857—www.averettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM � —{�— IZ <br /> ��Zo 6 -0�5 <br /> io�ao5 it�'`-" �u: �E <br /> PROJCCTADDRESS <br /> �v e�.Gr��an �o1�1-n ca,�n 11Y6t� I l� pj_�Sn� G� -� o.i-4- ql(2C�`� `��54�i <br /> OWna� h�l Addross Clty Stale2lp Phone <br /> Tenent Mall ress Clty SIOtE/Zlp PhOPO <br /> �� <br /> � 1 lk� � `6�' � <br /> EIeW calContractor h1ellAddrono Cily Stoto/Zip Q�'�/`C�j Phona <br /> L�can�.�r<4�.���`a ��,2�- <br /> Sldle LICe e Number Conlrnct Price of Work , <br /> C.orv�w�.�,.c.Lo�.. __..._, _ �c��J �l.se��.►�arl <br /> Proposed Use of BWidlnd Contact Parson (Plen Review) <br /> Descrlptlon of Work fo 8e Done: �LiA�I V��'�'�Q"�-�-s�� � � <br />�'� NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. �Q f � <br /> I <br /> CITY OF EVERETT LOCAL SALCS TAX CODE IS 3105 � ��� 'O� � <br /> 1 hore6y Cerfiry thot l havo read ond oxem/nad th/s epplication and knoW thB samo to bo buo and <br /> coriect. Alf provisions of laws and oNfnan�es�oveminp thls type ot work wd!be Complefed • <br /> whofher spaclllod hareln ornot. The granGng of a pann�t does no(p resumo to glve euthonfy to <br /> vJa/efeorcancellhe prov/sfonsolenyothorafateorlocollnwregalahnpconslrucfionorthe , <br /> porlamance of conslrucfion. That 1 am authonzed by the o�vner o/fhls proporty fo perfom7 thB <br /> Work lor whiCh application IS made and I comply w/th thQ Sfete Conhactols LaW 18.27 RCW and <br /> 280.200 AC. - <br />, _, l� I�i IZ <br /> A� .� uot <br />