Laserfiche WebLink
APPLICATIOi� FOR ELECT�RICAL Ptr�MIT ' <br /> �verett . : <br /> 3UILDING DEPARTMc�IT � ' <br /> A <br /> ?59-8810 ` <br /> i <br /> i <br /> , <br /> e dOress + ty p hone : <br /> �wner / I g$� ^ <br /> �aA•d J i�� ,.eY i�C s �✓��-�� ��U �.s — � <br /> � af d ress Sty ip hone <br /> enant <br /> bone icense �7 I <br /> - eetr ca ontractor ai rosa ZY / � ,[ � o ;� i <br /> �f .4u'i-�e_�- C�✓ ' ���. ' <br /> 110C�o �� ' I <br /> _ontraet r e oT worR roposec se o ui ding r <br /> ao2 �'�� 's <br /> ro�ect dAreas ���� ,t' � <br /> ! �� // <br /> NQ.ti1 �. �nT �c.��- <br /> J script on Nork o one: <br /> � <br /> � R <br /> y <br /> � <br /> z <br /> k <br /> " t <br /> IJOTE: BECAPPROVED�BY THEUSTATE70FTMASHNNGTON.ELAPPLIGNTS�MKTInIiSJLHCJOB5NMU5TI5HONiTHE STATERAPPROVED PLRNSABE OREEA � <br /> CITY OF EVERETT PERM�T M�LL BE ISSUED. 4 <br /> NOTE: MIRING IN NON-UNELLINCS IS REOUIRED TO BE IN MEiAL RRCEMAYS. s <br /> ; <br /> t <br /> � HEREBY CEHTIFY THAT i HAVE READ AND E%AN,INED THIS n I V'" 7 <br /> qpPUCATION AND KNO'N THE SAME TO BE TRUE AND CORRECT.ALL �� •r��Q E <br /> PROVISIONS OF LAWS AMO UROINANCES GOVERNING THIS TYPE OF . / � <br /> WORK WILL BE COM?LETEO WI7"N WHETHER SPECIFIED HERE!N OF � 7 <br /> NOT. THE GRANTING C7F A PERMIT DOES NOT PHESUME TG GIVf- � <br /> AUTHORITY TO VIOLA�Tc OR CANGEL 7HE PflOVISIONS OF ANY <br /> OTHER STATE OR LOCAL 1.tiW q`-GU�T1NG CONSTRUCTION OR THE �� P� <br /> PERFORMANCE OF CONSTRUCTiLIN.THAT 1 AM AUTHORRED BY Th1E S <br /> OWNER OF THIS PROPERN TO F'ERFORM THE WORK FOR WHICIi FEE � <br /> qppLICATION IS MROE AND i COMPLV WITH THE STATE <br /> CONTRACTOHS LAW 1827 RCW AND 2%200 WAC. � � <br /> � � <br /> X�� -- — 3 —� Y--�� s <br /> Date <br /> nature , <br /> . + <br /> V <br /> G <br /> . .... . .... P..:s��'.Y> -y�'ra:v� Yr. . _ . 1 <br /> i <br />