Laserfiche WebLink
APPLICAI,JN FOR ELECTRICAL �ERMIT <br /> � . _ .. . CITY OF EVF]iEff <br /> BUIIDING DIVISION <br /> 3200 CFD11R STREET <br /> EYERETT. V�98201 <br /> 259-88f0 �/) <br /> /] +7. J9i7 A m d.r EJE1et� (.t'�4 ��20 3?:3-9d0(t <br /> er ai Etlress ry Statel p hane <br /> enani a E ress ty CaCe p one <br /> � rol�L FIFrr1r� l')dO.S /8/�iAA� .t� ll.baO�aUIJ���� � 9i07,�PS�lJy'R1 TlNw�EEx/A1w�7 <br /> ecEl tr c 1 onVac[ar a �ess ��ta[el'Zip ane tate cenae o. <br /> �np 7 SF� <br /> ontr�FrTce o or -F'roposetl se o ui G ng <br /> �Z�7 �*rlSVa � �- r=JF2ai�i �W. <br /> ro ect aareas <br /> OlacriD�ion of Mork To Be Donc: FuRtiACS � '� � <br /> NOTE: M7�C 296-46-160 PEOUIRES TNAT PLANS FOR ELECTRICAL MORK AT EOUCATIONAL� INSLITUiIONAL OR HEALTH GRE FACILITIES <br /> BE APPROVED BY TME STATE OF MASHINLTON. APPLIGNTS MITH SUCH JO&S NUST SNOM THE STATE APPROVED PUNS OEFORE A <br /> CITY OF EVEflETT PERMIT N�LL BE ISSIIED. , <br /> NOTE: XIRINC IN-NON•DMEILINGS IS REOUIRED i0 BE IN CONDUIT. <br /> I HEREBY CEflTIFY THAT 1 HAVE REA� AND E%AMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TflUE ANO CORflECL A�L <br /> PflOVIS10N5 OP UWS AND ORDINANCES GOVERNING TNIS TYPE OF <br /> WORK WILL BE COMPLETED WITM WHETNER SPECIFIED HEREIN Ofl <br /> NOT.THE GRANTINC+OF A PERMIT OOES NOT PRESUME TO GIVE <br /> AUTHOFITY TO VIOLATE OF CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL UW REGULATING LONSTRIICTION OR 7HE � <br /> PERFORMANLE OF CONSTRUCTION.THAT I AM AUiHOFiIZED BY THE � p� <br /> OWNER OF TNIS PHOPERN TO PERFORM THE WONK FOR WHICH �E <br /> APPIICATION IS MADE ANO I COMPLY WITH THE STATE <br /> CONTRACTOFS IAW 18.27 RCW AND 296.200 WAC. <br /> X /� � <br /> �/��— <br /> Signatura Oate ��� � � <br />