Laserfiche WebLink
on!�[�/_oi3 Tur t�:i3 rnx <br />ELECTRICAL PERMIT APPLICATION <br />�ao2ioaz <br />CITY OF EVERETT PERMIT SERVICES �b�� <br />3zoo cEonr� sTr���T. EVFEz�1 r, �vn sa2o� y' <br />425-257-8810 - FAX 475-757-8857 — wvrv�.everettw,�.arg �/3py —�l � <br />APPIICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />' Z�Z� l.1?� _S� S� I <br />� PROJECT ADDRESS I <br />W � � 2o�v `'� 3 0 <br />��c_ 2oZcv I1Z-r�� �ee�+-►- W�_°��20� 3y�Z <br />� �� �-- M11NI AdCress Cily SLaltl�ip Piione <br />i uwner <br />� \ � ! 1 � � � � <br />II �fUrlenl ___f.1a�.lh�]Cress i:lly'__'_...__ -- S�aio�_'ip �OP��ur� l , <br />I /� S `�0� l�)1s1i u. <br />4' U <br />��c c�,�_.__'�� ��►����+ 5��-+-�-�__ �� � �z_s� <br />Ilr}CIqG31C0i11ldC101 �IFIdA(IdfCcS Ci�y Slfll(•IZif> PItCnC <br />J� S��O t,��� �, ZS r�YV� <br />::late Li�:ensc Number <br />I'�Si�✓1-t-i r,�.�_2,�e_.G'h�1 Ca. �_ <br />I�ropvs�•d Use ol Rud�7inn <br />:;yuare Footag� (II residenlial new consVuction, remoAel ur atldmon) <br />��-e �.,� I 1 Q <br />[�esciiptlon ol Work to Oe Oone�. � <br />(' \ � �-� l '�— —� �—i� __�. <br />NOT[: WIRWG IN NON-�WELUNGS IS RFOUIREC TO <br />pE IN RACEWAYS, MC OR AC CABLE . <br />CITY OP [VER[TT LOCAL SALES TAX CODE IS 3105 <br />u <br />I ��pr <br />y coibl}' fhaf I h0vo rpud <br />All proviS�Ons n( lews a <br />r spnaLeAheBin ornot <br />or iancel Ihu prov�siuns <br />O7 ConstivC(iun. <br />! �Y�IL. 1 �1PI�LCi1GG11 � l�iF <br />—�Y..'_'_yt O____—___" <br />Cuniroct Price of �!'urh <br />��,�.� � Om s I <br />Co•ita�.:t Person (Plan Revie�+�) <br />Ihis epplicafion and 6nu�v fhc same !o �a frue end <br />�ovemmg ffiis tyF� ol work wd( be contplefed <br />�l e pa�m�( does rw1p insunre (n y�ve authorify fo <br />ife or Iccnl law reyW,�hny constiuCtion or (he <br />ized by fh� ev:ner c( piis prope�ty to pe�Iorm fhB <br />'p �:dh the Swte Canfroc�ors Law f8.� 7 RCtN ond <br />__.�1II� 13 <br />o.,�r <br />FEE i <br />�(;�% I <br />L�.�'L � � I � V <br />