Laserfiche WebLink
�� <br />eccn ca <br />APPLICATION FOR ELECTRICA�. PERMIT <br />ss <br />�� <br />da /J <br />�U U ' ( l/.4�/�'�'c.ac. Of=rr « <br />_ontract rice o Work Proposed Use of Building <br />7�- L� % �r/�c5 °f!-ti l.c� ✓ '� C —Z! <br />ro�ect Address � � <br />cin oF EveeRr <br />oui�oiNc oivisioN <br />3200 CmAR STREEf <br />EVERETT, MA 9D201 <br />)iscription of Work To Be Done: �,ClST.4cC.. .�Gar,J t�dc–.—�Jcr '% � S:`.,�r� 7���✓5 �Ft1- <br />�_ �., •T✓�i L �✓�� ` /�o�� V0�-7✓1 ��., <br />NOTE: WAC 296-45-14fi REpUIRES THAT PIANS FOR ELECTRICAL WORK AT EOUCATICNAL, INSTITUTIONAL OR HE1lTH CARE FACILITIES <br />BE APPROVED EY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS kUST SHOW THE STATE APPROVED PL.aNS 6EFORE A <br />.CIT'( OF EVERETT PERMIT WILL BE ISSUED. � <br />NOTE: WIRINC IN VON-OWELLINGS IS REQUIRED TO BE IN CONDUIT. <br />I NEREBY CERTIFY THAT I HAVE FEAD AND' EXAMINE� THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND COFFECT. ALL <br />PflOVISIONS OF L.AWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLEfED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUh1E TO GIVE <br />AUTHOFiITY TO VIOLATE OFi CANCEL THE PftOVISIONS OF ANY <br />OTHEA STATE OR �OCAL l.4Vf REGUL4TING CONSTRUCTION Ofl 7HE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE ADID I COh1PLY WITH THE STATE <br />CONTflACTORS LAW 1827 RCW AND 296200 VlAC. <br />X � <br />� c�o� : ( ���.. �� %9���_ 3 <br />Signature �ate <br />� � <br />fEE � �� <br />