Laserfiche WebLink
Dec 16 11 0245p SU�1M1T ELECTRIC It1C 3609392431 P 1 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98207 <br /> � 425257-8810 - FAX 425-257-8857 -www.everettwa.org <br /> i APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> I <br /> �� 1 �i c A a7 QaA� <br /> PRCJECT ADDRESS <br /> � � <br /> i <br /> , •�,,�, Nn� �E�.., c�vnZ��C,yc� (_ C�r� � ' <br /> , OMm�3r Mml ACdress �/ City SlalefLp PAone <br /> s'�U <br /> � % �iZ/ ��-�c,�t���� lc�i ��2C��} '; <br /> , — <br /> � Tenent Na�Addmsa Crty State.'Lp Phonc I <br /> n 1 �7 �.C�i 2v I ST 5T N�U �j7}1N ��J (aA 1`6 i:; �- <br /> 5.1..�L2— CI.E:�TIZIC- 6l <br /> ', Gectncal ContraUor �.,e....,.,.�<..e CNy SlatuZp PMr�e ; <br /> �/25 3C1� 57rJ^� � <br /> � S� �mM1E 1 o�UK2 $5��c� — <br /> Stete Lfcense Number ConUact Pnce ol Warr <br /> `1 .4- .1�- . _ — <br /> Proposed Use of[3uldinq Canlad Person (Plau Review) <br /> DescrlpPon ot Work to[3e Oone: V..I 1 R�r N[W �E FIT� I'��•'�f <br /> NOTE: WIRING IN NON•DWELLINGS IS REQUIR[D f0 fEE <br /> BE IN RACEWAYS MC OR AC CABLE. <br /> �C� - <br /> CITY OF EVERETT LOCAL&ALES TAJ(CODE IS�105 <br /> I heroDy rerti/y that I have�eod onA ozam!neA fhis apP�icffi�on and kno•.v!ho same to be lrue ond <br /> COnBcI. AU pfOViS.'Ons o/la1Vs and ad�nances govef!71ng th�s type ol wO�k M'dl be complatad <br /> �vbothe�specifred he�ein or not. fie grardrng of a permrl does rrof presunre to grve auNionry ro <br /> vro�ate o�cance�fhe provisians ol ony othar stafe o�locn!law regulating const�uct�on or ttie r / � /� -/D�� <br /> peAonnance of caistruchon. Thaf!am autltairod by fhe ormer of thrs �cperty to poAom�the � <br /> �rn�M!or whlch appl�cnfion is made a�rd f�mpiy wrth thp S(ate ConhecPrs La«• 7b.27 RCW and <br /> ?96?W WAU <br /> `,�l�~` 1 Late) � ' ' I � <br /> .. Sin�ature �p15� C�1t�� - ' --- <br /> F y �5 s��3 5"�� �,��'� PAy N'�n�T <br /> �A a� m0 rJ � I 2.- Ici - 11 AT`T'F j�- I U �Uci F1�c�f'� � <br />