Laserfiche WebLink
APPLICATIVN FO�R ELECTRIGAL E �RMIT <br /> � I �` <br /> ;ITV CF ` Z�I k� J <br /> evere#t <br /> BUILDING DEPARTMENT <br /> 259-8810 <br /> r�er Mai tlUress <br /> l Cy �P hane <br /> �BiPldS ALl�R - /8' / C.Gi�LAne �v w 9��^ �r9 ias� <br /> Tenant at d ress <br /> Y <br /> ectr ea antractor ai d ress � <br /> Y V one cenee <br /> �Gt�QGvKN ��/P/G a6�- �,M,, . ,,. ��r 9��a� .� <br /> �antrect Price d► or ropate se o ui a�n�"g�� g/`�'S ����U����y�Q <br /> ���/ G�CEvCL,ft�n�U�AUF <br /> rro�ect dress �`'�S���nC <br /> iscr ption o Wor o�one: <br /> -�1-rl.v� f .�e u S� n.o� �o �t..,.� S�F . <br /> NO1E: NAC 296-46-140 REOUIRES THAi Pl.ANS FOR ELECTRIGL MORN AT EDUCATIONAL, INSTITUTIONAL OR HEA�TH CARE FACILITIES <br /> BF. APPROVED BY THE STATE OF XASHINCTON. APPLIGlNTS MITH SUCH JO05 MUST SHON THE STA1E APPROVED PUNS BEFORE A <br /> CITY OF EVERETT PERMIT MILL BE ISSUEO, <br /> HOTE: WIRING IN NON-DMELLINCS IS REOUIRED TO 8E IN MET�L RACEWAYS. <br /> I HEREBY C[RTIFV THAT I HAVE HEAO AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECL ALL <br /> PROVISIONS OF IAWS AND ORDINANCES GOVERNING THIS 7VPE OF <br /> WONK WIIL BE COMPLETED WITH WHETHEfl SPECIFIED HEREIN Op <br /> NOT. THE aRANTING OF A PERMIT DOES NOT PqESUME TO OIVE <br /> AUTHORITY TO VIOUTE OR CANCEL THE PqOVI510NS OF ANY <br /> OTHEF STATE OR LOCAL U1W REGUUTINO CONSTFUCTION Oq THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS F'ROPERTY TO PERFORM THE WORK FOR WHICN FEE �S' UD <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS UNI 18.27 RCW AND 296.200 WAC. <br /> X������,�.� /-G -Sy <br /> Siqn ure Dete <br />