4835 EVERGREEN WAY DISPLAY AND COSTUME SUPPLY 2018-01-01 MF Import

s r..� � � p ��y APPLICAT��N FOR ELECTRICAL NERMIT cirv or �vEaerr � � � nui�oiwc oivisios � 5 � 3200 CmAR STREET y evFxerr, xn 9azoi � N H - � � � 259�88i0 �J � �/� �8�✓Y ys3-a3�s A ff �✓'lYu"t,v-i�'1 J r�.D � /G � �C-u1• ��" it�^Y-`-"-�<' Phone tate _ip � � � rvner Mai ddr^ss � y hone t+ H � L ai ddress +ty tate �p ,./ p y Cild t �IIS 1-z0� R o v� �U� Se�rl( lUa A F • ly/0 � c�d [+ 1�20 E�lc��ii ?�7' 5��..1 �u'�' A"y hone tate icense a. y y ectrical ontractor ai dtlress ity tate ip .S H O tn � � I 9 oe�G� _ e o�,� roposed Usc or nuiidtng ntract n ce o Work / � J � �f✓t� f"�<�` u_ � -J '� , r ro�ect AdOress �� s� �iscriptian of Work To Bc Done: � � _.. _�., �`� ► � 1 '��. _� NOTE: WAC 296-46-140 REOUIRES THAT PLANS FOR ELECTRICAL WORK AT E�UCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES I 8E APPROVED BY THE STATE OF WASHIflGTON. APPLICANTS WITH SUCH J065 MUST SHOW THE STATE APPROVED PLANS BEFORE A CITY OF EVEAETT PERMIT WILL �E ISSUED. �� NOTE: WIRING IN NON-DWELLINCS IS REOUIRED TO BE IN C7NOUIT. I � � 1 HEREBY CERTIFY THAT I HAVE READ AND� EXAMINED THIS . 'a APPLICATION ANO KNOW TF�E SAME TO BE TFiUE AND CORRECT.ALL I '' WURKSWILL BE�COMPLE7ED WI�TH WHEETHER SPEGFIED HEREIN OR NOT.THE GflANTING OF A PERMIT OOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY � +, �. OTHER STATE OR IOCAL LAW REGULATING CONSTRUCTION OR THE �1=� , PEFiFORMANCE OF CONSTRUCTION.THAT I AM AUTHORRED BY THE .9 L/� OWNER OF THIS PROPERN TO PEFFORM THE WORK FOR WHICH FEE %� �I APPLICATION IS MADE AND I COMPLY WITH THE STATE � CONTRACTOFIS LAW 1827 flCW AND 29fi200 WAC. �1 1 � � � � ��S��i Z oaee . gnature_--- � 7� L/