Laserfiche WebLink
}t��",�`'' ?�IJ-7-2011 OB:56A FROII:PROFESSIONAL ELECTkI 360 435 1182 TG:4�52`78857 P. 1'1 <br />:��.-�:�.' <br />'k��.� <br /> z. <br /> , ; <br />�' ' ELECTRICAL PERIVIIT APPLICATII'�N <br />: <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERET7, WA 98201 ��-�„�� I <br /> 425-257-8810 - FAX425-257-8857—www.overettwa,org <br /> ��ai oa� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> ,.� �/ao 3 e'�, Sr <br /> PROJECT ADDRESS <br /> ' _/vew�c.,.( Dv e/ ,._ i..C" C., <br /> Ownor Moll Atldross Clly Stata2ip Phone <br /> ��r�•4_ 2 �/.90 3 6'l� ST s�e.o-J'!' G//� S�d� <br /> � Tonant MallAddross ' <br /> : CIIY Stalo2lP Phono I <br /> ! i'r�ft..cf'.o„o / �/p �r � c /�'o�i J'�'G ,!„ C.Jr4 7�'� '3 <br /> - I / � /'��n.. �s �.. <br /> i Elect��lcal Coniraclor Mall Address City Slaterzlp Phona <br /> i <br /> ' P✓cv���1"���,�i�� �.r� -� <br /> Stale Licocse Nunivar Contract Prlca of Work <br /> i <br /> I O <br /> i �C t �����y � • <br /> Proposed Us'o of Bullding Conlacl Porson (Plan Revlow) <br /> , DoscrlpUon of Wurk lo Be Done: I2� �o �c �� r/ �rr'�i �r' CGvi .� f,J �'W �%�'– r e � <br />,: . . . (iy C-/G" fjcL ✓�l0 / <br /> , -- __—_lr.r.�(P � ���f iw� Gi f' c' �✓ <br />�- - <br />� ' <br />� NOTE: WIRING IN NON•DW[LLINOS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br />��`�i <br /> �� CITY OF[VERETT LOCAL SALES TAX CODE 13 3105 <br />{�' 'a <br /> , , !horoby cerfl/y thet I l;nve reaJ amU exe�mined t/ds appllcaflon and know tho same fo bo lruo end <br /> ,,, : correct. All provlslons :Ilaws and ordlnancos govom/ng fhls fype ol worfc w111 be ccmplefed <br /> � n�hofhorspoc/R�d hore�.i or nof. Tho prqnf/np oIa permit does not prosumo to glvo authorl(y fo <br /> v/olafoorcpncelfho rov/slonsolenyofherstotr+orlocallewrepu/aflnyconstrucllonort6o <br /> peAonnr�nca olconsPuclfon. Th�f I am outharzod 6y Ihe ownor o(fh/s proporiy to peAorm the <br /> `I work/or whlch appllcaflon!s mede und I comply wllh�ho Stnte Confmctors Lew 18.27 RCW and <br /> 296.200 WAC, <br /> -����� '/� � " � ` (/�CJ/� ., <br /> � SIpn�Nro - <br /> Dnle� -�. � _ /:,,� � <br /> i <br /> // , <br /> I <br /> I <br /> fl... " M <br /> �:y' <br /> .;� N / <br /> I�r . . l ._ i/.� : i <br /> 1 . .t � \�y Y U f . . ' r � �f•" �n' 2S ..�� '� <br />`n�� . . .. . �. . . `` *'�4 " 1 � . � . . , ��" t . <br />