Laserfiche WebLink
��� <br />��x <br />C H <br />9H� <br />r <br />y i-�i <br />�H� <br />'��1H� <br />CA H <br />H <br />E� O <br />H t7 <br />� [�s1 O <br />�V q� <br />9Ht�1 <br />� <br />rHH <br />�y <br />H <br />C] C7 fn <br />� � [�l <br />HOCN/� <br />� r. <br />APPLICAT{�?V FOR �;LECTRICAL `� cRNfIT <br />�rerett <br />BUILDING DEPARTMENT <br />259•8810 <br />Co 3 <br />wncr a ddress ty ip Phone <br />✓Y��'S ?Gns� /3zr�� L��ii�. si�_ B���crVr•�z �So✓lo �i7 h�3-�/3Uv _ <br />SI�C s TqiZ 7� 0 i i; vr. 2 r;.ei'kl-� 'r'HY /o Vl I? /z /7� <br />ectr ca ontractor �aress ty .ip hone icense C <br />Ca4L���s ��[./ic%�z�i:. 3iq dsc,ri�rtsv-� s��njT�i� 9�/G�I 2�z��ii3 c.oG�z�cz5/N�: <br />SOO(�.V,� <br />1 <br />r <br />�� � - 2 <br />iscriptlon o wo,-k o e ona: <br />%�/i LO����/'� /� Z(�u/� /�/�/�iyL, � l'/�GuGAT/i /i�C25%.7/✓(-� <br />G T.;,/-�T /=Z,�TU�/=�S � /-/3/aT/-� BUZU� O v1 /',Q r GL GN-% <br />5 C�T% G/-a <br />NOTE: WAC 296-46-140 REOUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONhL� ItISTITUTIOHAL OR HEALTH CARE FACILITIES <br />BE APPROVED BY THE STATE OF WASk111:CTON. APPLICANTS WITIi SUCfi J0�5 MUST SIIOW TIIE STATE APPROVED PLANS NEFORE A <br />CITY OF EVEfiETT PEft111T WILI BE ISSUED. <br />NOTE: WIRING IN NON-DWELLINCS IS REOUIRED TO BE IN METAL R�CEWAYS. <br />I HEREBY CERTIFY THAT I HAVE READ AtJD EXAMINED THIS <br />APPLICATION AND KNOW THE SAtAE TO BE TPUE AND CORRECT. ALL <br />PflOVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WOflK WILL BE COMPLETED WITH YlHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANT�NG OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHOHITY TO VIOLATE OR CANCEL THE PROVIS�ONS OF ANY <br />OTHEFl STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORIAANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF TF11S PROPERTY TO PERFOPM THE WORK FOR WHICH <br />APPLICATION IS MAOE AND 1 COMPLY WITIi TIiE STATE <br />CONTRACTORS LAW 1027 RCW AND 296200 WAC. <br />X � �r� �� ��/ri,'/�l�/�-- �. �� r. ��_ <br />Sig ture Dato <br />FEE 1 O i/ �. G lJ ✓ <br />