Laserfiche WebLink
Re-s�b��ss�� 2o t5 t (�Z <br />�-- -- — - -. ------ <br />I <br />i ELECTRICAL PERMIT APPLICATION <br />I CITY OF EVERETT PERMIT SERVICES <br />I 3200 CLDAR STREk� I. LVERLTT. WA 98201 <br />� a25-257-8810 - FAX 425-257 8857 — www everettwa org <br />?I1�9 I��f;llt ST 111' <br />PROJECTAODRESS <br />:\KLL\L 1'lllLl.11'S <br />Uwner <br />fen int <br />:029 IDt; l'I f til S11' <br />MaP AEdrosS <br />Ma�� AEU�ess <br />1.\'I;IU:I'I', ��'A <br />Gry <br />Cny <br />� �S� $ _ //�i <br />�—l�—I'l <br />9R204 <br />SleteZp <br />statc?�o <br />42 S-•� I 8-11949 <br />Pno�� <br />Phonc <br />MM COti1PORT Sl'ti'Tf MS IH!D3 N1. GA'I'i15'1', C 2no NF.I)MOtiI� H'A/9A0:2 425-RAI -7920 <br />I'IrrtricalConttactor ManAhdress CnY State2ip PPone <br />�1MCOMMC92;C5 <br />State L�cense NumDer <br />PropoSeC Use of Bwld�ng <br />Square Foatage QI revaen6al new construcUon. �emodel m addihon) <br />Number of devices �If low voltege� <br />Contrar Pnce o� Work <br />SA,v�ei�-e. U.�e�,�S <br />COMMIPP,�S�� IPIB�RP,ViPW) <br />Descripoon o/ Wo�k m[�c Oone _ INSI'AI.I. A tiINGLf. I IEAI) II�IC'i'I,I{�C 111[A I' PU�iP S1'ti'fli�t <br />CITY OF EVERETT LOCAL SALES TAI( CUDE IS 7105 <br />I hrrt�by ccAdy fhef I h.rvr. mad ond crerruned fhis appht+�hon nqd know lhr. somc fo bc Iruc dnJ <br />r.nnecf AU pmvismns nl laws and orrlmanc�s 9ovemmq Ih�s fype ol work wdl be complrled <br />whrflrN� spr!nfied hr.nnn ni nnf Thn yr;�nbnq nl e prrrnd dnes nnf presurne fn gire �u(himfy In <br />vraldfe or cancel Ihe P��'vrsiun.: o/ any olber sfefe or locnl law mVidehny consfnichon or Mu <br />pcAnimnnr.r nl ronslnir.linn Thql I»m FlUlhonrcA Ay fhr owrirr o/ Mrs pmperty lo peAnmi !he <br />wnd lni wbir.h npplrcelron �s maA�nd 1 cnrnply wi!h N�e S�alr CnrVraclnr� 1 ew 18 77 RC.W and <br />196 ?00 WAC <br />/ N/10/IS <br />S aWre Da�e <br />ar� •irxr�n <br />ffC ----- <br />c�� po <br />PCRMfl# <br />E l�p`6-D�`i <br />