Laserfiche WebLink
APPLICATIvN FOR ELECTRICAL NER�AIT <br /> ��� <br /> a.; cirr oF EVEnrrT <br /> C:�H WIIDING DIVISION <br /> a y N �r 3100 CmM STREET <br /> EYCRE7T, YA 98201 <br /> .ye �c~i 2$9-8810 <br /> H xl <br /> O x0 . � ) �. � � � `. ��; ( . � ;� . � ; ; <br /> 'tlH`9 ��: / �7r �Y��` ! t ��.. � �1 � L , . �'� l;� . i� / �%��. ,� . ( . ( ,�� � , . �: <br /> VJ H 'T��— — an�'• <br /> � z� ner dl 4�t5S iCy � Cd !! <br /> y <br /> �.� <br /> 0 F"� <br /> :h n enant a d ross ity tate �p hone <br /> � �g <br /> "� " 2 <br /> N '!` �- <br /> ,�,� y� Ele^Crc{TC'untractor a �ess � l.—�1Cy—Sra�Zip --��'one tatc �cense o. <br /> HH <br /> g �' -- <br /> � <br /> CC�N on[r�ict r cn o ar ropoceA U:�����ui ding <br /> � C�7 � <br /> o� y•1y/ �( /-'_f�<< �,' — <br /> Project d�s� <br /> Dixriptfon of Xork To Be Dane: �'C � _�1' �, �_�"�� � " � ` � � � <br /> � + � — — — <br /> � i <br /> II" "�) -- <br /> .,� <br /> t10TE: MhC 296-46-140 REOUIRES THA! PUNS FOR EIECTRICAL WORK AT ECOCpT101U�L, INSTITUTIONAL OR IIEAL"'N CARE FACILITIES <br /> �'.ry� 'i BE APPROVEU BY THii STATE OF �'ASfIINGTON. APPLICANTS WIiN SUCH J005 4U51 Si!0+1 TMF. STAiE APPR07[D PiANS BEFORE A <br /> -� UTY OF EVERETT PEIiN1T MILL BF. ISSUED. . <br /> NOTC: MIRfNG iN NON-DWEL:'NGS IS REDUIRED �0 OE IN CONDUIT. <br /> � I HEPEBY CERTIFY THK,' I HAYE READ AND EXAMINED TNIS <br /> APPLICATION AND KNOW TNE SAME TO BE TRUE AND CORRECt ALL <br /> � � PFOVISIONS OF UWS AND OROINANCES GOV�:RNING hll3 TYPE OF <br /> WORK WILL BE COMPIETED WITH WHETNER SPECIFIED HEfiEIN GR <br /> r 40T. THE GRANTING Of A PERMIT OOES NOT PRESUME TO GNE <br /> AUTHORITV TO VIOUTE Ofi CANCEL THE PROVISIONS OF ANY <br /> + OTHER STATE OR LOCAL UW ItEGUUTING CCNSTAUCTION OR THE , _ <br /> � PERFOHMANCE Of CONSTRUC(ION.TFUT I A!A AUR!GPiZEC OY THE � <br /> � � OWNER OF THIS PROPERTY TC PERFOP.M TMF WOF!K FCR WHICH FEE _..___ <br /> APPLICATION IS MAOE AND I CO�dPLY WITH 7HE STATE <br /> CONTRACTOFS IAW 18.27 flGW AN�296100 WAC. <br /> X �_�,.� l �� �� , __ _�� `% -_ <br /> $ignature 7ate � <br />