Laserfiche WebLink
( � <br /> APPLICATION TOR I;LI;CTRICAL P�1tMIT <br /> CITY OF EV[RETT <br /> IIUII,DTNG DIVISION (�- � / O 5 � <br /> 3200 CEDAR STRLET C.I� <br /> EVERETT, WA 98201 <br /> 259•88f0 <br /> c��� s��� co -rY.�. tias a�q sa�o <br /> Owoer ul ddress C�ty Svte/ZiP Phone <br /> S� a�5'ao c�� �.�5 � � � <br /> Tcamt , M�il Addrua Ci�y IatdZiP Phooe <br /> 9btpb <br /> �.,Q�u- �l�a�,x�Yc I•��q_ bd� ��k�9 ��b�."il' �,,�-b-us• sl`k��P <br /> Electn I Conlnctor Mail AdJresa Cily Slate/Zip Phone Slate License No. <br /> �CX�1� �C.v�m� Sc�..c�n�c.� �ICS�a <br /> Contracl Price of Work Proposul Uu of D IJing ��S"� <br /> ��1'c�C� C.�„ .n�h� <br /> Pro�ect Addrcas <br /> Deacriplion of Work lo IIo Done: 1�'l�'l QY►cJ �Q,,� � � h (`lu� �f1 n �7(V\� <br /> ��I ,1-,�eA T� � <br /> NOTE:WAC 29G4G-140 RL•QUIRES 17�AT PLANS POR GLECTWCAL WORK AT LUUCATIONAL, INSTITUTIONAL OR <br />' HEALTH CARG PACIUTIGS IIE APf'ROVL•D !lY TIiE S'I'AI'G OF WASHINGTON. APPUCANTS WI'CH SUCH JOBS <br /> MUST SHOW THL STATE APPROVLD PLANS IIGFORE Cl'i Y OF GVGRI:T PEItMIT WILL DL' ISSUEU. <br /> NOTE:WIRING IN NON-DWELLINCS IS REQUIRGD TO DG IN hiL•'IALLIC RACLWAYS (MC AND AC, ARL• CADLES, <br /> NOT RACEWAYS). <br /> 1 HGR&DY CGRTlFY THAT 1 NAVG ItTAD AND GXAMINGD TI11S APPLICATION AND F;NOW THG SAME TO BG TRUG <br /> AND COWtGC'1'. ALL PROVISIONS Of LAWS AND O}tllINANc:LS GOVL"IWING THIS Tl'I'G O� WORK WILL �G <br /> COMPLGTHD WITI1 W1IGTIIGIt SI'i3CI1'IGD HGRGIN Olt N07', THG GItAN7'ING OI� A CGItAtIT DOGS NOT I'RESUMG <br /> TO CIVE AUTHORI7'Y TO VIOLATG OR CANCGL TIIG 1'KOVISIONS OF ANl' OTIIER STAT'G Olt LOCAL LA1V <br /> ILG�iUI.ATING CONSTRUCTION OR THG PGRfORMANCG Cf CONS7RUCTION. 7'IIA7' I AA1 AUTlIOWZGD 8Y THE <br /> OWNGR Of THIS PROpERTY TO I'GRFOIIM 7'HG WOItK I�OIt WIIICII AI'PLICATION 1S tilAllG ANll 1 COhIPLY WIl"fl <br /> THE STATE CONTRACI'ORS LAW 16.27 RCW AND 296.200 WAC. <br /> X <br /> — �.��t� � < ,� �;1 n �r�' _���_ ��� �. � � <br /> Signaluru �- Dalc <br /> � oi.�.rv Pis, <br />