Laserfiche WebLink
C+7 C�+1 � <br />A�x <br />q H <br />�Hx�n <br />HxH <br />�H� <br />� N � <br />UJ H <br />� <br />H <br />Q�C <br />��g <br />�Y (] <br />t"y� <br />[�i� y <br />gdy <br />��� <br />�oy <br />��1 <br />APPLICATo�N FOR ELECTRICi�L � �RMIT <br />CITY CF <br />everett <br />BUILDING DEPARTMENT <br />259-8870 <br />��� ai Address ity ip hone <br />� <br />E��.�.T ��r_�F�� C���� 14i� 2,"`� Av� 71� S-1 `��7r�. .�1� 1 <br />— . r+__. _ nnnn <br />�-�; ,����� �� z <br />ce <br />� <br />C is��� i � <br />�� <br />�i. <br />� <br />r��,«� ���, �» , 4 � � <br />�-�-�-����,�� si I�� __ _ `� <br />iscriptian o Work o c one: <br />I Enl'�-;N i ( n�r-�'oJC-r�lEr.��� ( iTii_�7� �_�C� ���Si �rLC� �!�f<C�ut'�� <br />��2 L��aN� ir�!(�A�i� ��I��' �<�r_1F=P <br />Nc 3 <br />NOTE: WAC 296-46-740 REOUIRES THAT PLANS FOR ELECTRICAL WORK AT E�UCA710t7AL, INSTI7UTIONAL OR HEALTH CARE �ACILITIES <br />0E APPROVED �Y THE STAiE OF MASHIN�TON. APPLICANTS MITH SUCki J005 MUST SfiOM THE STATE APPROVED PLA45 9EFORE A <br />CITY OF EVERETT PEf!MIT WIIL BE ISSUED. <br />NOTE: WIRING IN NON-DWELLINGS IS REOUIRED TO �E IN COt7DUIT. <br />I HEREBY CERTIFY THAT I HAVE READ AND El(AAIINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND COFiRECT. ALL <br />Pfi0V1510NS OF LAWS AND ORDINANCES GOVEFNING THIS NPE (�F <br />NIORK WILL BF COMPLETED WITVI WHETHER SPECIFIED HEflEIN OR <br />NOT. THE GFNNT!NG OF ApERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF qN� <br />OTHER STATE OFi LOCAL 1.l�W REGULATING C�NSiRUG110N OR THE <br />PERFORMANCE OF CONSTRUCTION. TH�T 1 AM AUTHOR�ZEO BY THE <br />OWNFR OF THIS PFOPFfiN TO PERFORM THE WORK FOR WHICH <br />APPLICATIC�: IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTOFS lAW 18.27 RCW ANO 296200 WAC. <br />X �.�� ��� / ,�-��-���� <br />i, �7.�� c.�sc��_ — <br />Signature Date <br />%�. <br />/ % �` <br />rEE ✓ LJ <br />