Laserfiche WebLink
APPLICAT�JN FOR ELECTRICAL r�ERMIT <br /> citr oF �nerr <br /> BUIIDING DIV�SION <br /> 3200 CmAR STREET <br /> ' EVERETT. MA 98201 <br /> 259-8810 <br /> L'('�iii�»� a i' ���inJ 14/5 Sy� �-1 �F ,�iA �i I <br /> �er a ress �F i r� Q' Cl��� .3�J3 ��f7/'i <br /> tY —3�l p one <br /> enant a reaa <br /> ty tate p�3y a�� �e <br /> ��i. � r � Z ��F' �/ ��2. <br /> ectr ca tractor e ress t ta p one ta e eenae o. <br /> ontract r ce a or ropose se o u ng <br /> �/I!!I� ( '/'l � /� . �( ��r�. <br /> ro ect ress b <br /> Diacription of Work To Be Done: �//,�,►/1. ��'( � <br /> _�— <br /> NOTE: MAC 296-46-140 REpUIRES THAT PLANS FOR ELECTRICAL WORR AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br /> BE APPROVED BY THE STATE OF MASHINCTON. APPLICANTS MITH SUCH JOBS MUST SHOW THE STATE APPROVED PLANS BEFORE A <br /> ,CITY OF EVERETT PERMIT WILL BE ISSUED. <br /> NOTEt XIRINC IN NON-DWELLINCS IS REOUIREO TO BE IN CONDUIT. <br /> I HEREBY CERTIFV THAT � HAVE READ AND' EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND COFRECT.ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THiS TYPE OF <br /> WOHK WILL BE COMPLETED WITH WHETHER SPECIFIED HEHEIN OR <br /> NOT. TI1E dRANTINa OF A PERMIT OOES NOT PRESUME TO GIVE <br /> AUTHOHITY TO VIOUTE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL lAW HEGUUTING CONSTRUCTION ON THE <br /> PERFORMANCE OF CONSTFiUCTION.THAT I AM AUTHORIZED BY THE /1 <br /> OWNER OF THIS PROPERTY TO PERFOFM THE WOHK FOR WHICH FEE a�.('n <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE - <br /> CONIRAC70R5 LAW 10.27 RCW AND 296.200 WAC. <br /> L�!/a�_,��Q . l ' /(i/.�C� �-�5 s�-� <br /> Signature�� Date <br /> �/�l�(C <br />