Laserfiche WebLink
g98F��o I <br /> � A['PLICATION FOR ELECTRICAL PEWI4IT <br /> c�rv oF ev�rcn-r <br /> BUfLDING DIVISION <br /> 3200 CEDAR S7RGET <br /> EVEREIT,WA 9620] <br /> � . �V ��rV,.y, 361yf3ro ��au�, � Ve �^ �� � '�" y $SS <br /> Owner Mail Address Ciry Statd7.ip Phone <br /> Tm�nl Mail AJdress City S�a�dZip Phooe <br /> aM i ���o � �� �c f-IE� <br /> Gieclrical Conlnctor Meil AJdress Cily State/Zip Phone Sute Lianse No. <br /> �� S b <br /> Contna Price of Work Pro�rosed Uu o(Building <br /> JA�� f L> S L^ I�l N CL� <br /> �Projat Address <br /> D�unplion o(Work lo Be Done:_e n�e-, c� i _ �C r- 1( �� � r' <br /> �� �" O '� c � !� O <br /> NOTE:WAC 29(+16J40 REQUIRES THAT PLANS FOR GLGCfRICAL WORK AT L•DUCATIONAL, INSTITUTIONAL OR <br /> HEALTII CARE FACIU77PS BE APPROVED HY THL STATG OF WASHINGTON. MPLICANTS WITH SUCH JOBS <br /> MU57 SHOW TIiE STATE APPROVED PLANS HL•FORG CITY OF EVLRE�'PGRMIT N7LL BE ISSUED. <br /> NOTE:WIRING IN NON-DWELLINGS IS REOUIRED TO B81N MGTALLIC RACEWAYS(MC AND AC,ARE CABLES, <br /> NOT RACEWAYS). <br /> 1 HEREBY CGRTIFY TNAT 1 IiAVE READ AND EXAMINED TI{�S APPLICATION AND KNOW TI�E SAME TO BE TRUE <br /> AND CORRL•Cf'. ALL PROVISIONS OF LAWS AND ORUINANCES GOVGRNING TIiIS TYPC OF WORK WILf. BE <br /> COMPLGTED WITH WHLI'HGR SPGCiFIGD NEREIN OR NOT.THE GRANTING OF A PGRMIT DOGS NOT PRESUME <br /> TO GIVL AUTI{pRITY TO VIOLATG OR CANC[L TH8 PROVISIONS OF ANY OTI{LR STATE OR LOCAL LAW <br /> REGULATING CONS7RUCTION OR THE PLRFORMANCE OF CON57RUC170N. THAT I AM AUTIiORIZED BY TNE <br /> ON'NER OF THIS PROPGRTY TO PGRPORM THE WORK FOR WHICH APPUCATION IS MADL AND 1 COMPLY WITH <br /> THE STATE CONTRACI'ORS LAW 18.27 RCW AND 296.200 WAC. <br /> / , G <br /> X l: " �'� 3 �'3 F� ��o <br /> Signnlure Dete <br /> a«.�pisro�� <br />� <br />