Laserfiche WebLink
APPLICAI ,JN FOR ELECTRICAL^�'ERMIT <br /> aTv cr <br /> eves•e#t <br /> ' BUILDIMG DEPARTMENT � , <br /> 259•8810 <br /> �aq1� (� �lobo Nc�;3,-z+-�x.,�3oa t3e�leuue.�800�-1 gaa-c��� <br /> (�nne �. ; a�A ress ty p hone <br /> �r(1-� �P.c> ��L.x-�i�� <br /> eT' nan[ a1T�17dress (: ty p one <br /> � 9�a3 a. -3 ioU �.� � ,� <br /> � ectr ca 6ontraetor a ress Cy p one cenee <br /> 15�b ,� Mts'�ctQ�4 , C.t�. <br /> ontr :t r ee o or ropoee se o .9Fi ng <br /> �1�a.a�'yi�rrnrEen l,�Yz� �e_��o �da . � �,�e re#�- l��1 - G8 2c�{ <br /> �scr pt on o lor o e one: <br /> i r��a 11 � �e-�s o� 2�1" C hn n�.�u� I e-N-e� ��i-�h <br /> �" 1 c�a� . a�e_ �-� csr� -�� N��,�tr-, E'a e,�a,-h c�r� <br /> �7und �� a,� -�heJ �'�as� e�e�a-�-►� - <br /> t10TE: WAC 296-46-140 REOUIRES tIIAT PlANS FOR ELECTRICAL MORK AT EUUCATIONAL, IHSTITUTIONAL OR HEAITH CARE FACILITIES <br /> . BE APPROVED BY THE STATE OF WASf1�IlGTON. APPL�CANTS MITII SUCII J005 HUST Sf10M TfiE SiAiE APPROVED PLANS BEFORE A <br /> CITY OF EVERETT PERNIT MILL BE ISSUED. <br /> . tIOTE: MIRIIIG IN NON-DWELLINGS IS REOUIRED TO OE IN HETAL RACEWAYS. <br /> � I HEREBY CERTIFV THAT 1 HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND COFiRECT.ALL <br /> . PROVISIONS OF U1WS ANO pRDINANCES GOVERNING THIS TYPE OF . <br /> WORK WILL BE COMPLETED WITH WHETFIER SPECIFIEO HEREIN OR <br /> NO7. THE GRANTIN6 OF A PERMIT COES NOT PRESUME TO 61VE <br /> AUTHORITY TO VIOLATE OF CANCEL THE PROVISIONS OF ANY <br /> O7HER STATE OR LOC�I LAW REGULA7ING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUiHOFiIZED BY THE � <br /> OWNER OF THIS PFOPERTY TO PERFORM THE WORK FOR WHICH FEE <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> X�_.� .1 � �(/ —d �� <br /> - Signature Date <br /> ,�� �"�l <br /> _� <br />