Laserfiche WebLink
OY/16/2�11 10:92 18806159679 LIGHTS N PLA5TIC5 PAGE 01/02 <br /> ( <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 90201 <br /> 425-257-8870 - FAX 425-257-8857—www.everettwa.org <br /> API'LICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM � `/�`// <br /> �//a z --0�3 <br /> ��05 - " �.,.,��. ��I-I- ��A `�Y� <br /> PROJECTADDRESS <br /> 1^a v ��n�on � � ,�a s���r,� ��r1e.�-�` (..��1 `�6.a"�5' �5'?�3�7G <br /> Ownof � Mall Adtlieea Gty 9tele/Dp Phona <br /> �ir�..Z ac5 E. r,� , k'�� Eixxl�— (.�/� 9tiao� 4a5•35G-��76 <br /> Tenent ��tan pdtlroee ury ShtNbp rhane <br /> M��o C/�c�,r._ �L .�,�33 Y ,r /�„c S. Salo5 �a W� wA- 9813Y .�3�•3�'t-SSGS <br /> Elocldcal Contratt0� Mxll Atldrc�p Cl�y Sletatip Phone <br /> ►v\� I IZUEL. 9c^.�0 I� � �y0�w 7 � <br /> S�AIr.Lir,enae NumOcf � Cantrec�P�ice al WOtk <br /> M�c�;�� ( �17ci��-zl ��7{,.sj.,,.....,�ti .)33•3r"J-95p�j <br /> Proppse0 Use uf ullding Contet�Penon (Plen Revlaw) <br /> DoscdpUon of Wo�k l0 9e Done: �nryi � '�., G M ��o;Cc � L ti L,��I�F <br /> ! ( <br /> NOTE: WIRING IN NON-�WELIINGS 19 REQUIRED TO �E <br /> C3E IN RACEWAvs, MC OR AC CA�LE. <br /> Clri oF EV[RETT LOCAL SALGS TA%COD[IS 3706 � I I � � " � <br /> 1 heruby cenily q�pf 1 hnvr, rr.ed and exemined fh�s eppllceNon and know fhe seme fo ba t.ue end r-� <br /> correct. �ll pmvlsinns ollaws anq oMinances poveming flria type al wpdt will Ae compleled ��(�Z -U �t 3 <br /> whofher spnci/rud hr.rein or nnt The gronfing o!e permd doos nof presume fo ptve outhoNty to <br /> vinlafa or r.nncel fho provlslnns el any ofher stale or locnl law reguleNng cnnsfrLcffon o.tho <br /> peHennnnce ol conalnicfion! Thof I em aufhoAred by the owner ollhis property to p@Ao�7n fhe <br /> wvi/r wr whicf appl�cnfinn�mnde end I cnmply wlfh fhe Sfate Confrecfo�a Lew 1 H17 RCW end <br /> 29R.?A��WA[� <br /> � �'� ,�/�/_ � �� �� <br /> filpnntur" e "' Ualo <br /> 6 <br /> V <br />