Laserfiche WebLink
aJ n6 2006 1::��1 FAS 1J'15JP79n80 GEDDIS ELF.CTRIC <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF E1/ERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVEREI T, WA 98201 <br />425-257-8810 • FAX 425-257-8857 - www.everettvva.org <br />�ooz <br />APPLICATIONS ARE ACCEVTED FROM 8 AM TO 4 PM - pEB1T R CREDR CARDS ARE NOT ACCEPTED <br />15C >-U��•i�; �'L �t�� i.��-+�-� �. (�cK.�n (�rv,. ) <br />��rc-+l <br />PROJECT ADDRESS � � <br />�Yi"15Ar�� ��.�1'11�tr`� IGI�I �J.:�i'ii,�l._:�,�d��Y°���•�� �ti�L�iFf �ti�R �.�"i 1G�1 � �i:t,�•W��S•v<<N— <br />Ovmr.r � MeillWdrxsv cary 3q�(Z{p � -. � q�y <br />Tenanl <br />1A,iU AEeross <br />Clry <br />SWIEIIiO <br />iTone <br />C-, / <br />'E_d��i5 C�i_C.iY�t ..I-nC. .�7.'1.�-l3i��i� 1'�+"Nr (.IL�.��.rZ�'�.��� �;,�C <�$� :;':i;, �i.�y���a-9Gl,•0 <br />—�---- — <br />Elodrtcal Contraclor M�II Mdress r,iry g�,�D �� <br />�� � l���h � �1 I � I� � �1 � � �JL�--����, <br />State t icenso Number Conlrap Price uf WoAc � - <br />r, � � . , . n � �� , �1'� i <br />�.iill L� �(. i� (i.�'1'l 1� f 11;; :� I � � i1 L ��C-.rl��q-) t i..7 <br />Pru��sed Use nl Ruii�in� �1.-_....' Conlact Person (F'len Revlew) � <br />Do;u:dption uf Work �o Ile Donu: � r.., ,, 1 i'� i c� t�i l i� !i I <br />NO1L: WIRING IN NON-DWELl1NGS IS RFQUIRCD TO <br />OF IN ItACEWAVS, MC OR AC C/1BLF <br />Cf1Y UP FVERETT LOCAL SALES TAX CODE IS �1U5 <br />I Dyreby ceRily fhqf 1 hmm read and nxnmine0 tPos appli�;afinn onJ knvw fho semr. fo bo WA qnd <br />coirecL NI pmviswrrs �u 13ws an0 orhinnnces govominp thia typr nl wnrk wtll bc cemple(oA <br />whoNpr speuRnA herain oi nnf The granGn� ul a portn7f dcr3s nut �rosume fo yrve eidirunty (o <br />YIUINIO d GAIIL!'I MP.p ruvrsrons ol any othcr sfnte oi Gx.nl lnw reyufanng cunrhiicGr�n nr (ha <br />Fxi�mnence ulenn3t�ln:li�v�, Ihot J em a�qhorl7rttl by the ownri uf fhlsf�ro pwity to peAorm Via <br />wurk Mr which rtppllr.ation is mnrM and 1 a�nply wltli the SYefe �onUactors ! pw 18.2/ 17L'W anJ <br />2y8. "L00 WAC. <br />� <br />n <br />_�:� t_+-�,,;, _�--•1 �.,_', .�,, ; <br />.. <br />s��wr - <br />� <br />��Llr,�� <br />C GtDc�y—� 3 G <br />