Laserfiche WebLink
p3/19/20433 09:49 4253778977 BOSCH ELECTRIC ItJi: PAGE tri/O1 <br />ELECTRICAL PERMIT APPL,ICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />�125-257-9810 - FAX 425-257-�857 - wvwv.everettwa.org <br />APPLICATIOt�S ARE qCCEPTED FROM R AM TO A PM - DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />It�ao �iat� >i <br />PROJECT ADDR�SS <br />��ssc Kar�� ►�� li�'�S� SI,� �veYert, w� .`3�sa�.^�/ yZS.��IL`. GZ`j0 <br />CW�ef M�II AddreSS City Slala2lp Fhone <br />Tenent <br />MaJ Md!p5! <br />c�ry <br />SLilelLp <br />Phone <br />t3D5c�, �lec+�ie �c- Po Br,n iOSd Lak.ec5{eve��s�wk. `��25$ yLS3���,�7��5. <br />E!octncal Cuntractor �.taa ncdrecc e�r, surorzin Phone <br />BpsCH [L �j�i 3 Ci�T <br />Slale License Numher <br />Contract Price nf Work <br />Propnsr.d Us� nf Hufldiri� Contact Person (Plan Feview) <br />Daccrlptiun �f Work to 4e Dune. �� Sr�.1 � � I YCuli'-� Q��t �-rZ/�i� � f� .3 LT Y�lGYY1 <br />NOTE: WIf21NG IN NON•DWELLINGS IS RE(�UIRFD TO <br />tiL- IN RACGWAYS, MC OR AC CADLE. <br />CI IY OP [VERBTT LOCA� SALGS iAX CODE 7S 3105 <br />'��d�eUvi ce,vt�l; ;hnt l.h��-e read und examinad (his epphcsflen and know fhe se,ne fo he bua enp <br />,:::rrucC AAl.vu�u�ons ollAws end ord�nancBs gorernlna th/s type ol wc�k w•dl Go complofOd <br />�•�'�n(he� tpec,t;.�d herem or ncl. The gianting ol a permd does nof resume rc B���e nurno.ity �o <br />� �n�afo or r,ancel the prowsi,-,ns o! ary vfhei stOfq _^r Inca! law reguPfinq const�uchon or f/re <br />puduimence o! c�nsvuctn?n That I am authenr.e;1 bv the owner cl;h�s nropertyW perfg rm fNe <br />.�•:.�k !or ,.h�cn apPGceLor� �a ,�aur. a�,d l c;:mpiy �nth' �nu stere c�n(raetor5 Law' 18.27 RCW atld <br />i('ri._00 tVAC. <br />i <br />� � �'��'(.� <br />� . 1�.-� •�-d.�� . _-_ —_—� <br />„d� ��w• � � �. <br />�J <br />FC-E <br />L�03- �5 <br />