Laserfiche WebLink
06/26/2012 TU6 6� �7 !Ax �25 9� 6501 6��-Copy I ID007/002 <br /> \.} <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857-www.everetlwa.org (p�ab..,2 <br /> APPLICATIONS ARE ACCEPTED FROM 6 AM TO 4 PM ��,�6�.�� <br /> �7n� Her.�;�f ArCnu� , �t�r.�-�e�/f, h1,! 9va-a I <br /> PROJECT ADDRE83 <br /> Oumer Metl Addross Clty Sla1elZip Plane <br /> NS �ga.�.,� /�e� H{wt{� Ihr�nu� EY��ff� WR 9P�a/ NK-zs�- s <br /> renent MalAetrass Gly slNa2q Phab <br /> N�r��d sa�� � ✓cu,�� 3osl � val�ey �S( Ylti,-� w/1 '8'es� �/a.r9�r� ao <br /> ElecMcal Conhador I�MN Aatlroea � Gty SulHZip Phona <br /> AGGlF.gV�-7588 s �o, �ra. y�� <br /> State Licenae Number Conlrect Price of Work <br /> P�oposed Use ot Building Conhq Peraon (Plan Rev(ew) <br /> Square Footege(II resldential new oonstrudion,remodel or addition) <br /> Deacripdon ol Work to Be Oone: ���'� �1�Q�S � 12'rY+O✓� �.G/5��/1q <br /> �'10.5�G�!�t»� !v/�i 11GW— f���+'�i�Tn'1 D✓yf�e�lL✓ �� �i 1f67� � <br /> d��ve i,re d►�tw�er-, <br /> NOTE: E�RN RACEWAYS MC OR AC CAB EUIRED TO FEE���O <br /> CITY OF EVERETT LOCAL SALE8 TAX CODE 19�106 <br /> 1 here6y certlly fhet/have read end examined thls applicafion and know ths ums to be frue and r I�O� I�� <br /> correcL All provislons ol/ews and ordinences pov�sminp this type oi wak wlll be complefed t . � <br /> wheMer specil'red hereln or not. The prantkp ol s perm�f doss not presume ro qive suthoriry fo <br /> valafe or cencel the provlslons ol any other stefe o�bca!law reyulafinfapvconsfrucfan or fhe <br /> w�or�l�c/�o a��eppl't��•made and 1 compy witAYthe S(e e�C�o�nfhisc(o��f8.�7�W and � <br /> 296.200 WAC. <br /> �/ /���/-!/`'R'V!Lf�Z1 t� `l���i <br /> ipnelum te <br />