Laserfiche WebLink
� <br />2S9•8@70 <br />APPLICATIC f FOR ELECTRICAL P�: �RMIT <br />V�/ <br />CI�Y OF EYQtETT <br />WILDING �IVISION <br />3200 [mM STREET <br />EVEREfi, YA 9E201 <br />?QUCE ANC�2sot'I r�.0.3P'�3$zl 3611tt117E W�• 9kC05-3FfL1 CzoL) 4S3-Ik�S <br />cr �a etldress [��taCelZip �hone <br />Ou��IRY WIDE �'Uc�DINID \SS Tl I.AKE AU�, t����� � q\\Cft-`1\'3 Cts1$ �OQ' �0� <br />��� � Ma� a ress ty tate) �p none <br />��oe) =�a4-�yw <br />�VE�(DTZE'Eti � 1-�AG�IC ���2�L �OZ20 4B�RUE E. '?Ac.o��� W� 4K4qb 6�ROPEo9qoR <br />ctn ca on[ractor ai aresn c�Catc p onc itxte ceme o. <br />::�. �\`�7�� '(3''Z - O-C�l10E- <br />iract <<c o Nor �opased ,e o u� tl�ng <br />-���� D �Vt+"2�i'EEN Wr.V �VE'zE"C� WA �}4520?� <br />��ee[ AtlEress <br />! <br />.cr��p[ton o( Work To Oc Oonc: '�F-�*Kfr�'lOT-1 � EXl4�IN(p ���i+�S : SW ��C,hltl(p . <br />_�;;.�.. �� ,z.. a.�..a�c� au.tl�4s <br />=fi��',1�1(D F-.\Ipkl�lN(J �iVAC i S�2V1C.� r C-�Y.Wr 1l(nLMtcicq � �n�c�wv.=��'J <br />)TE: NAC 796-46-140 REOUIRES TNAT PLAHS FOR ELECiflICAL WOFK AT EDIICATIONAL� �NSTITUTIONAL OR NEALTH GRE FACILITIES <br />DE APPRUVED OY THE STATE OF WRSHINGTON. APPLICANTS WIT11 SUCH J0�5 MUST SHOW THE $TATE APPflOYED PUHS �CFOflE A <br />CITY OF EVF.RETT PEPMIT WILL OE ISSVEo. �' <br />JTE: WIflING IN NON•OWELLINLS IS ftEOUIftED TO OE IN CONDIIIT. <br />I HERE9Y CERTIFY THAT I HAVE (iEAD AND' E%AMINED 7HI5 <br />APPLICATION AN� KNOW THE SA61E TO OE TRUE AND CORRECL ALL <br />PflOV15tON5 OP LAWS ANO OROINANCES GOVEflNING THIS 7YPE OF <br />Y10RK WILL BE COMPLETE� YlITH WHC-THEfl SPECIfIED HEPEIN Ofl <br />NOT. THC- GRANTING OF A PEflMIT �OES NOT PRESUME TO GIVE <br />AUTHOFITY TO VIOUTE OR CANLEL THE PflOVISI0N5 OF ANV <br />07MER STATE OF IOCAL LAW REGUTATING CONSTRUCTIDN OR TME <br />P�RFOpMANCE OF CONSTRULTION. THAT I AM AUTHOR2ED DY iNE <br />OWNER OF TMIS PROPEfiTY TO PERFORM THE WORM. FOR Y/MICII <br />APPLICATION IS MA�E ANO 1 COMPLV WITH THE STATE <br />CONTflACTORSIAW 18.27 RCW ANO 296.200 WAC. <br />�" � <br />x „�a � j-.� -:-v �3 <br />�iy ature Date <br />/ <br />FEE rJS <br />