Laserfiche WebLink
c.Y <br />f� <br />APPLICATi�N FOR ELECTRICAL r'ERMIT <br />�—IrI�A�i� �� <br />p <br />cin oF tveaErr <br />BUILDINC DIYISION <br />3200 CmM STREET <br />EVERETi, MA 98201 <br />enant <br />ai ddress ity tate �p one <br />fd <br />/ S —� % G� �_G-S L �✓nblf.'� Cf�9 <br />�: �itv Stat� <br />�sv.�d <br />antract r ce o or <br />��/) i ��//y� <br />% �i � � �l �/ �i� N i� I � �/ �(��iV! �1 <br />,� <br />Discr{ption of Work To Be Done: <br />� <br />--7/Z�- <br />tate tcense o. <br />/'l�COvwE,'� /OI C�i I <br />��,���� <br />roposed se o ui ding <br />� <br />�c ' � <br />NOTE: WAC 296-46-140 REOUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARF. FACILITIES <br />BE APPROVED BY TH� STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE APPROVED PLANS 6EFORE A <br />CITY OF EVERETT PERMIT WILL BE ISSUE0. � � � <br />NOTE: WIRING IN NON-DWELLINGS IS REpUIREO TO BE IN CONDUIT. <br />I HEREBY CERTIFY THAT I HAVE READ AND' EXAMINED THIS <br />APPUCATION AND KNOW THE SAtdE TO BE TFiUE AND CORRECT. ALL <br />PROVISIONS OF UWS AND ORDINANCES GOVERNING THIS TYPE OF <br />NOT.�THE GRANT�ING OF AD E MIT DOESENOT R1ESUME TO GIOVE <br />�1UTHONITY TO VIOUTE OFi CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OH LOCAI lAW REGUTATING CONSTRUCTION OR THE <br />PERFOFMANCE OF CONSTRUCTION. THAT I AM AUTH�RRED BY THE <br />OAPPL.CATFONISISpMADE ANDPE COMPLY WIT�HKTHE STATE <br />CONTRACTORS !A� 78.27 RCW AND 296.200 WAC. <br />X l / � �/ //:�`/' J <br />�- �� �.�—, — <br />Signature <br />oace <br />FEE � v <br />