Laserfiche WebLink
�z <br /> { n:i.- � <br /> P , <br /> }��� . . :. raav.eit� . <br /> . � ���/! ... ... .. � ... . � - . . . .. . � . � ,a.. f i. � . <br /> , �.��1"1 � �� iYh�,�'`.�F�.tis':, , e.a y ..'�.'t„L�y ;h <br /> �.�wnm t <br /> ���� �4PPLICATI�V FOR ELECTRICAL C�RMIT <br /> ��� , <br /> ��� � Y � . <br /> �y � evere#�t � . : <br /> � BUILDING DEPARTMENT <br /> ' � . 259•BA10 <br /> Df� � <br /> i 6W ' � <br /> ST�Q �� X 69// C'o�uix i � v� <br />- �' y ner a ddress �y C� ���onc <br /> , ��� enant ai d ress 6 Cy p one � <br /> � � � ._. � ��ll�6�r,�/���. �?yo�,�pno � �7a/��.brs� ���' 33�.'/s'1 f/OUVE�'o9/00 <br />, . � eetr ca ontraetor a�TlCddress t ip one cense <br /> .�v D/7C <br /> �� � . ontraeE r ce o rior rapose se o u ng <br /> =' , E �Q�����/,..� �,� ��HT /=�/���- <br /> , ro eet Ad ress <br /> - � �scr pt on o qor o e one: \ �-7� � <br /> - •--;.� . � - 020 0 4•�/� �e r t/ic,e S � N/i h� Qrl� G}�' � 4�1/i � I <br /> � ��� <br /> � <br /> ; ; ��� i <br /> - � <br /> , <br /> � NOiE• MAC 296-46-140 REOUIRES THAT PLANS FOR ELECTRICAL WORN Ai EDUCATIONAL, INSTITUTIONAL OR HEALTff CARE FACILITIES <br /> ; ,_�, , . 9E APPROVED BY THE STATE OF WASHINCTON. APPLICANTS XITH SUCH JOBS MUST SHOW iHE STA1E APPROVED PLANS BEfORE A � <br /> ` CITY OF EVERETT PERMIT WILL BE ISSUED. <br /> . IIOTE: MIRING IN NON-DWELLINGS IS ItEOUiRED TO DE IN HETAI RACEWAYS. � I , <br /> L <br /> �— 35 �0 ; <br /> �I — <br /> I HEFEBY CERTIFY THAT I HAVE READ AND E%AMINED THIS <br /> ' APPLICATION AND KNOW THE SAIAE TO BE TRUE AND CORFiECL ALL <br /> ; � PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> � I 1 , . WOFK WILI BE COMPLETED WITH WHE7HER SPECIFIED HEREIN OH <br /> � NOT. THE GRANTING OF A PERMIT �OES N0T PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> I, OTHER STATE OR IOCAL LAW flEGUTATIN6 CONSTRUCTION OR THE . <br /> _, PERFONMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE �/� �'� � <br /> OWNER OF THIS PROPERN TO PERFORM THE WORK FOR WHICH f'EE �� <br /> �'A' APPLICATION IS MADE AND I COMPLY WITH THE STATE � <br /> CONTHACTORS LAW 19.27 RCW AND 296200 WAC. <br /> X / �, <br /> � ��1 ;� �� � gnaLure Date <br /> .�qr,;,:� - i <br /> ..'Li - •-�:i'._ i <br /> i <br /> ,�i::;�� � 1 <br /> �. A ..�1�. ` <br /> v_IY}t- �� i <br /> 5 <br /> .-�t.�'�:� } . <br />