Laserfiche WebLink
.:ar.ii�",U�liu <br />F:,Ic:���t Ele�.'r�.; <br />��'7� I <br />PROJECT AODRESS <br />.v.o��. �,�-. <br />. �._ _uJ.,.. i <br />ELECTRICAL PERMIT APPLICATIOP� <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREEf EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — vn+nv evereltwa.org <br />APPLICATIONS ARE ACGEPTED FROM 8 AM TO 4'M <br />�� � l�V� �-t/ <br />� � � i P�,��f;'!C �:^��Y�,;� fi3'1 � <br />O�.mer r�a�i nd�ress <br />Terant <br />Mail Pd�ms, <br />cay <br />Cey <br />� � 3 0/ -��'Z <br />� ���3 <br />� <br />l� �(1�; y�ii? �s <br />S'alc�Lp <br />Sla(WZip <br />Pnone <br />Pnorwr <br />!�;,�,�t ����G ��x 3=�9y l4Q'L�,r: �V1r� ��_.3 y�s�7�777' <br />F.I�Ctncalfi�Mrg�(of ��ailAd:lrcss G:y StatuZ�� Phnne � <br />p, �z»���7�� ���ov _ � <br />State License P.urnber Cnrtra-; P�,ce cf Niork <br />s, F r� s��n�c ��%Y� _ - <br />Prcposed Use ot 0wlaing Centa�: PerSon (Plan Rev�,ew; <br />SGuam Foo'age pf rc�sidenUai nrH construd�on, rcmodel or add�t�on) <br />Descnp; on of Wo� .;c B� Dor,c C�III��� m/:�(/j7�C�lI �(/ /7�)m 7� �T1 S%7ti,�i _ <br />- -�"- �V � ����r� i ---- - - <br />NOT[- VJIRING IN NON-DWELI INGS IS REQUIRED 1 O <br />B[ IN RACE�VAYS �1C OR AC CABL� . <br />CITY OF EVERETf LOCAL SALES TAX CODE IS J1 �5 <br />'�y �erhty f1;U71Irave reo9 and exammod tfxs apphcat;on and know U�e same to be fnro a;:J <br />:!Jr piovis�cn5 af lav:s and orarnanws c;ovemrrg fhis �ypr. o,'v+��k v.all bo cemp/ele� <br />c� �oea5ed hero�n or mL The aran;:ng ol a permrf docs n�(�resume to qive aufhonty (o <br />r or cancel (he prc:��sicns of any ofncr ;tate or lo^al law regu.,,bn� ,;onsfr�ct�rn or (he <br />�nancr ;;1 consl�uction. Tha.' 1 am outhorired Gy !h� o+vner ol (hisPropeity lo pedurm fh,e <br />or •nh_ch aoplicat�{.a�rs p�de and I comply witk� ;he State Conhac,crs Law 78 ?% P,CW ar.A <br />- �;,t... <br />� � � <br />�'� <br />� <br />S ..r4� we <br />�i/ <br />FEE <br />`� S- �0 <br />--- <br />� , 3D,-�3a <br />