Laserfiche WebLink
_ ' ,�..� <br /> , ., <br /> , „ � � <br /> ��� �.,.. <br /> a � ... � <br /> ��� <br /> ��� � � APPLICATION FOR ELECTRICAL FtRMIT <br /> � � <br /> � �d <br /> ��g <br /> �� � iTVCF <br /> � y eve��#�t , . <br /> H 3UILDING DEPARTMENT <br /> � ]59•8810 <br /> t~A <br /> � � <br /> O� <br /> (� <br /> .. . iNnar �r aress ty �p nane <br /> ,/,�rrv /�i��lssi f2 ,�� a � �� �°o�� ��.�o� as� 9��3 <br /> a�a�� a atlress ty <br /> �i��� 3c'3-l�fs'7 �i�//�/f'S/� <br /> � '�etr ea ontractor ai rosl�i—C ty D one censa <br /> � v�Fil f���7 49a ,��SGaLLF�i�Us oPl✓� o1'�/N/��`1�us �'�L�' I <br /> :ancract r te �Mor /�J ' <br /> :� +� �/—/�-�' � <br /> � ro eet EOresa <br /> �G���'f/1 AUE fi��F.��r> cer.� 9d'�U/ j <br /> �scr p[ on o Wor o e one: � <br /> ���� /�ti 7s✓lL �/�n ��r1� � >GGQ � �`i � F'X/S7/�U� /°�9�"9 __ ! <br /> � , <br /> � ' <br /> < < � I <br /> � : <br /> � i <br /> C�' E � <br /> , <br /> r � � <br /> , ��� ..; 'IOTE: WAC 296-46-140 REOUINES THAT PLANS FOR ELECTRICAL MOHN AT EUUUTIONAL� INSTITUTIONAL OR HEALTH CARE FACILITIES � <br /> BE APPROVED BY TME STATE OF MASHINCTOtl. APPLICANTS WITM SUCH JOBS MUST SHOX THE STATE APPAOVED PLANS BEFORE A <br /> �� U TY OF EVERETT PERNIT MILL BE ISSUED. ; <br /> I •'. 'IOTE: WIRINC IN NON-DNELLINGS IS REOUIRED TO BE IN METAL RACEMAYS. 1 ���, <br /> j L� ; <br /> � I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS � I <br /> � pPPLICATION AND KNOY/THE SAME TO BE TRUE AND CORRECL ALL f �� <br /> i � 1� � PROVIS�JNS OF UW9 AND'JROINANCES GOVEPNING THIS TVFE OF ' ! <br /> WORK WILL BE COMPLETEO WITH WHE7HER SPECIFIED HEREIII OR i <br /> I NOT. THE GRANTINO OF A PERMIT DOES NOT PRESUME TO f31VE � <br /> � ,\UTHORITY TJ VIOUTE OR CANCEL THE PROVISIONS OF,1NY �C ; i <br /> OTHER STATE OR LOCAL UW REGUTATING CONSTRUCTION OR��}iE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY'RiE i7 ,�("" I <br /> �� OWNER OF THIS PFOPERTY TO PERFOFM THE WORK FOR WH'CH FEE J S�� <br /> APPLICATION 15 MADE AND 1 COMPLV WITH THE STATE � .. <br /> � - - CQNTRACTORS LAW 1827 flCW AND 296.200 WAC. � � <br /> /''�—1 i <br /> X �C - <br /> �!' �: 3�-yz <br /> � Siqneture Date . � <br /> `3S�G <br /> � <br />