Laserfiche WebLink
� <br /> � � <br /> APPLICATION FOR ELECTRICAL PERMIT <br /> CITY OF EVEREfT <br /> &11LDINC DIVISION <br /> 32Q0 Cm�R STREEf <br /> EVERETT� MA 98201 <br /> 259-8810 <br /> � � � .,� QQm*� �blo'� �'3 <br /> � �O tote p one <br /> tv <br /> a ress <br /> �wner � ..� � <br /> '�" �_ty tate p one <br /> _�ant ai ress <br /> , � —6 � <br /> a � ress �y <br /> tate p one t te ce�se o• <br /> ectr ontractor �p <br /> �if7P <br /> �.�USC � <br /> � ropose se o u a��9 <br /> �ntrac r ce o or . <br /> ��� • <br /> 55�a �� o� �S 1�T <br /> roJec ress /, <br /> � i✓ �ulf.ti d r � /� — <br /> iacription oP Mork To Be Uone: <br /> `lOTE: BEC�PPROVED�BY THEUSTATETOFTNA HINGTON.ELAPPLICANTSaWITHTSUCHCJOR5NMU5TI5HOWTTHE STATERAPPROVED PLANSABEFOREEA <br /> CITY OF EVERETT PERHIT XILL BE 155UED. <br /> NOTE: XIRING IN NON-DWELLINGS IS REOUIRED TO BE IN CONDUIT. , <br /> I HEREBY CERTIFY TNAT I HAVE READ AND' EXAMINED THIS ' <br /> RUV SI�ONS OF UWS AND ORDINANCES GOVERN NG THI�S TYFE OF <br /> ypp�(WILL BE COMPLETED WITH MlHETHER SPECIFIED HEHEIN OR <br /> AUTHORITY TO VNOIA�TFp'Fa CANCEL THEOPROVISIONSTOF AINY <br /> HEGUUTING GONSTRUCTION OR THE ��� <br /> OTHER STATE OR IOCAI•. FEE <br /> PERFORMANCB OF CON' � 'T�ON.T W�T�AM AUTHORIZED BY THE <br /> pWNEH OF THIS'SRMAF i' N PERCOMPLY WI�HKTHE STATE <br /> �ppLICATION, , <br /> CONTRACTORS LAW 18..' �:W AND 296.200 WAC. . <br /> y � l ii- Y-9Z <br /> ^ .,��_�,�.��� .•,:_��-Ja <br /> Date <br /> S;�e <br /> C- , 3 �Gry <br /> i <br />