Laserfiche WebLink
�e`� APPLICAT,JN FOFi�ELECTRICAL .�ERMIT <br /> � ..._ ... . LIiY OF EVEAEfT <br /> JUIIDIHG DIVISION <br /> 3200 CFDAR STREET <br /> EVEStEfT. 11A 98201 <br /> 259-8810 <br /> 7 N � ✓ �rFT Y�o �-_ 37i <br /> a� Mai E r ss ty ta[e p one <br /> enant e� 0 ress �ty tate p one <br /> TN,���l Fti'T1ti' /7Yc5� ik4'Yd✓" .�'F�DN �l� WA ` � 'G9d� TiNNF�-/U>N� <br /> Elec�'r�ce�Cnntractor �afPCddlesa C ty tat � p ��t C�— <br /> oneract r ce o or ropase se o ui ng <br /> N AV t Q� O <br /> ro ect ress <br /> Diacriptlan ot Mork To Be Done: �1.IiNAt�E �A ti+r � <br /> NOTE: MAC 296-46-140 REOUIRES TlUT PUNS FOR ELECTRIGL MORK AT E�UCATIONAL. INSTITUTIONAL OP HEPLTH GRE F�CILI71E5 <br /> BE APPNOVED BY THE ST�Ii OF WASHINGTON. APPLIGNTS MITH SUCH JU65 NUST SHOW TME STATE APPROVED PLANS OEFORE !� <br /> CITY OF EVERETT PERMIT NILL BE ISSIIED. , <br /> NOTE: NIRINC IN NON•OXELLINCS IS REOUIflED TO BE IN CONDUIT. <br /> I HEREBY CERTIFY THAT 1 HAVE READ AND E%AMINED TMIS <br /> APPLICATON AND NNOW THE SAME TO BE TAUE ANO CORRECL ALL <br /> PflOV1510N5 OF UWS AND CFOINANCES GOVERNING TMIS T'PE OF <br /> WORK WILL BE COMPLETED NITH WHEiMER SPECIFIE�HEREIN OR <br /> NOT.THE GRANTING OF A P[flMIT OOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOUTE OF CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAI UW NEGUUTING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUiHORIZED 6Y iHE �� <br /> OWNEP OF THIS PROPERTY TO PEflFORM iHE WOFK FOfl WNICM FEE oZS � /oU <br /> APPIICATION IS MADE AND i COMPLY WITH THE STATE <br /> CONTMCTORS UW 1827 PCW AND 296.200 WAC. <br /> X / � s-5 - 9s <br /> Signat� Uate <br /> ����� <br />