Laserfiche WebLink
01130/2017 08: 32 #1651 P. 001f001 <br /> E�CTRICAL PERMIT APP�ATION <br /> CE7Y o�EV�RErr PERM�T s�RVICEs <br /> �200 CEl�AR STR�ET,EVERETf.WA 98209 <br /> (P)425-257-g810 J FAX 425-257-,8857 �(�)�veretxe�s�everettvva.gov� wuuw.everettWra_gQv/permits <br /> . . „ � � � � .M��QJ�C7".�SI'i'E I�1P0�liIR�A"�'IQN � � � <br /> ��a,ecT aa��ss: �k r �f'�.c> <br /> StJfl.DING AitF-�►(if taside�tia�,new cona�ucpon,r�rr�odel,or addition) <br /> BUiLDiN�i 7bpE:�FR-0ETqCyEp CJ s�Ft ATTACHEp �pUPL AAAILY-#OF UNfTS: CI COMMERCI� <br /> tJ8�Op BilILDING:s��9/I.Q4 Q�1- <br /> � � . . . . . EL� � CA�:�APPClCA'�ON lNFORMp,TIQN �� � � . <br /> CONTRACT PRlCE OF WORK:� �j � <br /> NUMBER O�DEVIC�S if!ow vol <br /> FtRE A1.AR�? q YES O <br /> ASSOCIATED BUIl.DtNG p�RAAIT� if a licebta: <br /> DE�CRIP'i'ION OF WORK: yt,j f��y �j � �J <br /> .� <br /> � � �e oG�'' G c�J� � <br /> � <br /> � � � �CONTACT,iNFQRMATtAN � � , <br /> owtr�R wwr�: kEiU 67�' a T��wu�� com�,erc�a,- <br /> OWNEIi MAILING ADGFt��S: srr�r � - Q � .r! .S!� <br /> cro srn� � O <br /> OW�IER PHONE: OWNER�IMAIl.: <br /> CONl"RACTOR NAYE: I�� /� fJ /� f�' �� <br /> cor��acroR auer�ss: g„�,� 3 <br /> � BTAlE Zp <br /> CONTRACTOR PHbN�: � CQNTtiACTOR EMAIL: <br /> 4'ON172A4'TOR LiC. �AUlRED1:� L l�I-/V.�'I Cl7Y pF�VERE7T BLISINESS I�IC.�{REQu1R �: �4 3�.�7 <br /> PRIMARY CONTACT: Cl OWNER �COM'RACTOR 8''OTHER(i�lease Speciry) <br /> ca�raGr r�a��: cor�rAcr PM+�+�: .1 ,�3� ,Z <br /> � D � coNt�r�Ma�: <br /> AGRF.EMENT.•I herebY ce�y d+pt!lrave tsad er�0�da�app�a�Cn Antlb�ow tbe c�►w�►ne bua endcor� Ap Crovlslor�s otlaws Fnd arc�n�a goven�rap tlNs yy@ <br /> ol wcrk w�Os oo�led�d irl+elJror�oc�led J�eve&�a not. 77�R f11A►k�v da peRnh Goss notp�ur��e to OA�tr aufhord'Y!a vlofpA�nr olinoQJ�re P�o�Jons d�!Y otlrerstate or <br /> roc�!!aw raBWef�rC�a�P��+c�ol corea�e�ors 7Ix1t I aa►autl�orr�arQy tha awnero/eus p�perbr ta y�l�onn tne wro►r�E+r w�iic�h eppNcatlon ts madie and/ <br /> �N N9�h Ari�Slate Car�b�rlpi�r(,aw 1�27 RCW�lIA 280C20G WA� <br /> CMy of�u�relt Q/�7a►tJsa d� <br /> ' PERMIT# <br /> 1� ��' /� � �� � — �� <br /> s�� oate l�avlsed�23he0�1s) � <br /> fBd � !�i�r1/ �«? <br />