Laserfiche WebLink
� � 'C <br />�� <br />t"Hp��� <br />HZ� <br />'�tl�� <br />yV! Hrr <br />t+70�OM <br />��g <br />pr <br />t" y <br />�y M <br />Oy <br />f~A <br />� <br />�O� <br />� <br />I <br />�, C� <br />v <br />�� <br />r_ <br />� � <br />APPLICATiON FOR ELECTRICAL PERMIT <br />P0. B��c 33�i3 � <br />IC'yIlr l�Pl�i ..+� i <br />elecCrlcal l.onLracLor naii nwresn <br />�, s��� �_ <br />ontract r ce o or <br />���t�L�� �i.e.�c��'��r,.� �.. <br />ro;ect d ress <br />t.v�1- 9s�J3/� <br />cin oF ev�aErr <br />BUIIDIHG DIVISION <br />3200 CmAR STREET <br />EYEitETT, MA 98201 <br />cense <br />���'�\�.��(�, •�; -, . �iall <br />roposed se o uilding <br />L% <br />Discription of Work To Be Done: I ' Ir �� �`%r.-`� � ip IZ�� �74c�� �/O�r��^^�� ��'< <��<< _ <br />�r. ( , 1. �--: n 1�1,_. (', i r, 't� •. .� �^','-�i I l AOrc,_.�1.� <br />� i � � . � -l.._t. . �� '� –•_ -�- — <br />� NOTE: WAC 296-46-140 REpUIRES TNAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br />. 8E APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOIi THE STATE�APPROVED PLANS BEFORE A <br />CITY OF EVERETT PERMIT WILL BE ISSUED. <br />NOTE: WIRINC IN NON-DWELLINGS IS REOUIRED TO BE IN CONDUIT. <br />I HEREBY CEFlTIFY THAT 1 HAVE READ AND' E%AMINED THIS <br />APPUCATION AND KNOW THE SAME 70 BE TRUE AND CORFiECL ALL <br />PFOVIS�ONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE Of <br />WORK WILL BE COMPLETED WRH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PEAMIT DOES NOT PRESI�ME TO GIVE <br />AUTHORITY TO VIOLATE OF CANCEL THE PpOVISIONS Of ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OFi THE <br />PERFOFMANCE OF CONSTRUCTIqN. THAT I AM AUTHOFiIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFOFM THE WOHK FOR WHICH <br />APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br />CONTRAC?ORS LAW 1827 RCW AND 296200 WAC. <br />X I �— �% <br />. <br />�'�� ii..-. �-C c L � . i -� " / � <br />� SJgnature �ate <br />O� <br />FEE / � �- � <br />�� i ������ <br />