Laserfiche WebLink
� <br />APPLICATI�I FOR ELECTRICAL i�RMIT <br />�IN CF <br />evere#�t <br />3UILDING DEPARTMENT <br />259•8810 <br />Mai 1 ntlaross <br />1«�« IG'�� alti�s pl Sw <br />ontractar ai ddress <br />N�cc. a o <br />nce o wor <br />;'1 �4 A .l (� f= �tM�nG <br />�{olo 0 <br />szc3 zss- 4�zs <br />P none <br />P hone <br />03G �ll:-tiz"74 Z�LEC*%Us <br />iP hone �cense <br />��.x- ���,d����� <br />NOTE: BECAPPROVED�BY iHEuSTATETOFTWA HNNCTON.E`APPLICANTSOWITH�SUCHCJOB5NMU5Ti5HOWTTHE STATERAPPAOVEDCPLANSA9EFOREEA <br />��7Y OF EVERETT PERMIT N�LL BE ISSUED. <br />NOTE: WIRING IN NON-�WELLINGS IS REOUTAED TO BE IN METAL RACEWAYS. <br />I HEREBY CERTIfY THAT I HAVE READ AND EXAMINED THIS <br />APPLICA710N AND KNOW THE SAME TO BE TRUE AND CORHECT. ALL <br />PROVISIONS OF LAWS AND OFDINANCES GOVERNING THIS iYPE OF <br />NOT. THE GFAN NG OF ADPERMITJDOES NOT PRIESUME TO GNE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCA� lAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTflUCTiON. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PfiOPEtiTY TO PERFORM THE WORK FOR WHICH <br />CONTFACTORS LAW 1�8.27 RCW AND 96. 00 WAC. �TH THE STATE <br />i� J �" �" �� <br />Date <br />.Signa re - . <br />FEE �O_G <br />