Laserfiche WebLink
Jun 18 08 02:29p <br />P. 1 <br />ELECT <br />ICAL PERMIT APPLICATION <br />CITY O <br />EVERETT PERMIT SERVICES <br />320C <br />EDAM STREET, EVERETT, WA 98201 <br />g_t7 <br />425-257-8 <br />0 - FAX 425-257-8857 — �v.vw,eve <br />ettwa.org <br />APPLIC <br />IONS ARE ACCEPTED FROM Il <br />4 PM <br />/ <br />PROJECT ADDRESS <br />6 <br />G,ov d(-vAi <br />Owner Mail Addre <br />CIPy <br />StateMp Phone <br />Tenant 1401 Addro <br />City <br />Stale/Zip Y')_s Phone <br />Y� f <br />fir <br />)-0 '!1 <br />Electrical Contractor t,lallAddro <br />Gty <br />SWOOP Phone <br />C <br />I <br />Stato License Number <br />ntract Price of Work <br />j C <br />Proposed Use of Building <br />nparson (Plan Review) <br />f� /U^dJ <br />Description of Work to Be Done: i <br />ynCj(i <br />— <br />LU/ <br />i <br />i <br />NOTE: WIRING IN NON -DWELLINGS I <br />i . <br />I t <br />[EQUIREC) TO <br />FEE <br />BE IN RACEWAYS, MC OR AG <br />BLE,�� <br />CITY OF EVERETT LOCAL SALES TAX Cof <br />IS 3105 <br />I hereby certify that I have read and examined <br />is appllcetfon and know the some to be true <br />Ind <br />correct. All pr�vlslons cflaws and ordinances <br />wheMorspecllled herein or'not. to gmWing <br />vern/ntt1I this typ6 of work will by complatao <br />ape rmlf does not ppresume to g,vo authority <br />r U'6619—CA 2 <br />o <br />violate or cancel the pprovfsloaS o(any others <br />peAormanco of construction. That 1 om autho <br />for <br />orloca/ law rogufstlnp construction ortho <br />ed by the owner off h/s roporty to psNorrn f <br />' <br />work which appllcot/on Is mado and I comp <br />296,200 WAC. <br />with the Stote on, ctors Law M.27 RCW <br />nd <br />Date <br />