Laserfiche WebLink
J6/19/2012 nON 9: 15 FAX �001/OV5 <br /> ' - <br /> r . <br /> �-----�-- � . <br /> ELECTRICAI. PERMIT APPLICATION <br /> � CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREE7, EVERETT,WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM B AM TO a PM 6 _ �g -�a <br /> ��zab-oa3 <br /> 1u5t1 i � r�'�" Gk.r- 5� _ <br /> pROJECT ADDRE3S <br /> IP�Gtr�'Pv� CCI�ttLl�_ IbSS\ � Il.d"E�1'1� crf` ��Jt.�.�c.ld- q�wsS �'��Phono� <br /> O.N�g� 6;eU Pddress Clty Stale2ip <br /> s�La!aC� VlC4 G <br /> Tenant Mail roaa Clty SlalelZlp Phone <br /> qz5 <br /> 2� - Qu� - � ��� <br /> [le iCel ContraCfor MOIIAddfoos Gty SIa1nIZlp G' �,)�'aj PhoOo <br /> L� � ��V�.q��t� _ 4z�'z�-- <br /> St�te Llco e Numher ConUacl Ptice of Work <br /> ��l Y�AJt/4C.�CA.�- ;1 a'I 1 JI('� L�L✓1✓UC l <br /> Proposed Uso of[iulidinp Contact Person (Plan Rev�ow) <br /> Da6crlp6on of Work fo Be Dono: ���]��.c� ���`'�'����-� . ���`'�f � <br /> � <br /> NOTE: WIf21NG IN NON-bWELLJNGS IS REQUIRED TO F[E <br /> BE IN RACEWAYS, MC OR AC CABIE, <br /> 7b . 13 <br /> GITY O�EVERETT LOCAL SALES TAX CODE IS 3106 <br /> 1 horoby cortl/y theE 1 haw road and oxaminod this applicaGon end knav t.he sam�lo be hue and �I ZO(r-, _ oGl � <br /> conect. All provisions ollews end ordlnances gover�ing th(s rype of work will be,complofod `t� l <br /> whofhorspoci�od horoin ornoL The g�anlinp of a pnnnR does 00�prssumo fo grtre dufhontyt0 <br /> v/olatecrcanceltho provlslonsofenyoMeratatoonocalfaivregulatlndConstn�cnonortho •� <br /> pndurmance of consi�uction. 7hat I am au(honzed C/fho owne�olthls property to peffoltn.,{hB <br /> wori<for`vhfch appllCefion fs mad9 ond I comply with iho St�te ContraCtors Low f 9.27 RCw and <br /> 296.2UU N�AC. <br />' 19�1 �1Z <br /> ._ o U v ?��`'+--- <br /> IpnaWre � a�� <br />