Laserfiche WebLink
n.�•a n:�t nr n�1:5ap <br />S—IG-L�(v P.1 <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 9C201 <br />425•257-8810 - FAX 425-257•8857 — www.evereMva.org <br />APPI.ICATIONS ARE ACCEPTED FROM 6 AM TO 4 PM <br />! 3� o �f n s'T' J'w <br />PROJECT ADDRESS <br />� <br />Tenant <br />Mall AEdref� <br />ntou ncdrose <br />01 /��sl^, <br />C'ly <br />Gq <br />U�S <br />3S5 <br />��SS <br />faa U <br />StateTD Phone <br />5!a!NDC � /� NhOne <br />Fc }'i,.a-u ra,e�, �' x S 3Gaf �(� .�.t� E�/ ��',2a� �9.Zi4� <br />GI9CtrIcalCOCiRdor A1aIlA:ld�na Clly SutwZlp �Mni <br />�C�'�.,4;9u .S� /�12 �I� <br />State �icense Numbor <br />�M ti N.e rt L <br />Proposed Uso of B�iltlinp <br />�� 00 — <br />Contratt rice of WON <br />Contad Porson (Plan Reviow) <br />DesalpUon of N'crk to Be Done; ,���-�,{�_��1 �t ( % '� ��UGx � �/ ,�, __ _ ___ <br />?� �,� O�o ,� l2 /1/.F_!�J �S"�'Af j�CLF �/� � G b li'•t�,�a�% <br />No9` � o,zC�G✓�v� C�,v?zsAc7' <br />NOTE: WIRING IN NON-DWEL�INGS IS REQUIRED TO <br />BC IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERET7 LOCAL SALES TAX CODE IS J105 <br />f hereb�• cert/fy Ihef I hnva road and exnrr:ined fhls eppllcetion antl know the seme to Oe true antl <br />CJrrecL A!1 provislons cf /e�vs end orcl�nencBS povernlnp Uiis type 0' wOrk �+•i!! be complelud <br />whetnpr spnuliod homin or no[ Tho pronOnp ol a pBrmlt does not resume to pive eu(honty fo <br />vio'ete cr cencel the provlslons of eny ofner afato orlor.el lew repuPeonp conatrucrion or tr,o <br />peAormance of ConstruCf%on. Thet ! am aufhoneed 6y fhe a�vner ef fhis property to perform fhe <br />wprk f0� �vhlC� npA��t6!!On IS mOda AnC 1 COmply wllh thB St6fP COntrgCfO�S LAw 1t7.27 RCW end <br />196.200 WAC. <br />� <br />� <br />FEE <br />/ O C� <br />C� /� � <br />� �'t.:� � -�r�,. <br />