Laserfiche WebLink
0ooziooz <br />I:" �0':'011 TUE 13:3a Pnx <br />ELECTRICAL PERMII' APPLICATION <br />r,ITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STR[[T, EVGR[TT, WA 98201 <br />425-2Ci7•8810 - FAX 425-257-fJ�57 — www.evere��wa orp 1�`�` �( <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />31�1 I Olni''' �1 .SF 6��e+} �1ti Lo8 <br />PROJECT A�DRE3S <br />Et�� 2 �� y <br />'�vi�_1lUJ'��__31�I I Olo"r''' ���Q-��" _Wfl°����� u_� °��1 I�j1 <br />Gwner Man Add�� is C�ry Stain�Z�p Phone <br />ienant <br />A1;ul AAqress <br />Cdy <br />Slnlo/Zlv Phnne <br />/1S You v��s�l EI.CCISz�c �7S S S"�A�Y.S� SE�A�fL� ►17�`ib �3u 20�, �s3 Z5 <br />__ _. _.__ '_ _'__ _—___ '_—'_.y __—.—_— <br />L Ircincal Canirar.tor A1nn Aad�ess Oi S1a1e.21p P�one <br />� .�1s ouyc,� �z5 - <br />State Llr,ense Number <br />�RPS � cQ.e �'rY-� � 1 <br />Proposed Usa of Bmldlny <br />-� ��-� � --- <br />Conlracl Price of Wo�k <br />S-�a r� M on c,R-� � — <br />Cuntact Person (Plan Reviaw) <br />Ueecilp�iun ol WU�k �o Ho Dune �`�1 � v � I� Lv �`"r '�� �`��u � 1 � — <br />1^(11 �n'i S' � 11-+ 1�11 a�1 � u YYl� — <br />NOTF: WIRING IN NON-DWEL�INGS IS REUUIRED TO FEE <br />BE IN R�CEWAYS. MC OR AC CABI F. <br />CITY OF EVERETT LOCAL 3ALE3 TA% CODE IS J105 <br />y certity f/raf I have med entl exemineA fhls appliCnf�on nnA Xnow the same to Ga fn�e end �f <br />AP provisions nl laws anJ o�tlinances govemmy fhis fype o! worti will he compMled � I i � 2 - � G_ <br />�r specdied hnrern nr nof. The granhnp ol e pomrrt does not !�resurrre tu �ive aufhorry fo <br />or cencn� fhe piovisinns nl ony olher stnfe or loce� Inw regul.�lin� r.nnshucfion or fhe <br />�anc0 0l conSt/or.fion Thef IOni Bufhon:ed by fhB owny/ olllus p�nptrrt}� fo pe/lo�Ri fho <br />r which opp6cafion is made anc' I tomUly wrth fhe Sfafe Conha�'fors LnH� IA.27 RCW artd <br />f2�20� 11 <br />