Laserfiche WebLink
- = - -- - -- --. -- - :— . --_._:.... .__... _ - _ is�ss.9� <br /> ELECTRICAL PEftMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3700 CEDAR StREET, EVERr:TT, WA 98201 <br /> 425-257-F3a10 - FAX 425•257-8A,7--www.e�rerettwa.o�g <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 1�-_�_��"�-��- --- <br /> PROJEGT A�DRESS <br /> ��/ �v•�x 3 70� _ Q.Z� �,vA ci' �a ��o� 5-.3°�a a� <br /> OwnCr <br /> Mail AAdrlss City S��e�Zip Phane <br /> TRnant <br /> Mail Address Cit/ S�te2iG Pnr.ne <br /> ��� �� �/'J/I�.., �7 /��� � � �J� 9�a7 f�5'���h�_ <br /> �je�Q�L,O_.��&��3-.i/-�`��� Sate�LiV �nonc <br /> EIr.eVieal COntracWr Mail AdCress ��N <br /> � ,�i 98yo� �i9, a�� <br /> �E/C e�--. Contract Pnr.r. n(WOrk <br /> Stdtr. License Number <br /> Pmp �d lJsr.nf Buil�in�/��---` ContaCt Pe�son (Plan RCvlew) <br /> DesCnption ut Work to Pe Dane: �Q__[L. ._ � �!J� �L����""— � <br /> _ ���r nli.,���/Q.c�L__,!�.�'✓ _-��l_u`� _ -��.�_-- <br /> __ �--- --- <br /> INOTF: WIRING IN NON-UWFLLINGS IS REQUIFED TO FFF <br /> � 9F IN RACEWAYS, MC OK AC CABLE. ��/�/ , O� <br /> T (O <br /> ICITY OF EVERCTf'LOCAL SALES 111X CODF IS 3105 _ <br /> I heroby cCrtily fliat I havn read and examineA fh�s�pF��caUJn anR knew U�r. ,a�ue;u Dn tr�e end <br /> corrett. All prOvis;cns o(l�ws anR o�dinances r,oveming tnis type ol work wdl De complelen <br /> w�rUixr spec�find Berin or not. i he granhng of a pem�rt cfoas not ArBSumr3 to give authortty m <br /> viulale o��:�vicel Ne provi�ionc 0��ny othNr sl.vn r.r Incal law raqu/ahnU cCnSfnrch0� 0�the <br /> peAcrman�:e o/ccnstrucGon. That I om authnnzed,hy fhB Ownor o!th�s emperty to p^��rlOrm rf+e <br /> wprk fr.r w,9�r.h 3ppl�cahon i5 madC and 1 Comply wilh the Slate Contrar.(ors Lnw 18..• RCW and <br /> 296200 WAC. <br /> ��( ,�/i /� n <br /> sii������c��:�G��SJ""�.il�l __ �T ��(r���/ D <br /> Data I <br /> '�-5' naN�e 1-Ul:[ ti-I 5t7 <br /> 1Q/i�3 3°_ityJ 11�_i11�.-�I-�dl;if�:i,�� -IrJ`J31J3� iTL�33ZSLh �9�60 90F1Z,iZl/b0 <br />