Laserfiche WebLink
�:. <br /> APPLICATIViV FOR ELECTRi�AL � cRI1flIT <br /> r3nr+ <br /> Y+t"t-'�' CITY�'F <br /> "'>y �l%Q 1���� <br /> ,a:�x <br /> 9 ^,y BU�I.DIPIG DEPAF'Ti,tEMT <br /> t" s 259-8810 <br /> H 9� � " <br /> k x� L` �% <br /> y?f J <br /> o xo <br /> � H� '� l� �Z ��ir;/��'�=�'- "�,; 4,�;td i <br /> y �'r ' � �,n .� < 11"7�_� ��l i �F�l y. 21 � � <br /> g Uwnc� Hail Atldress City Lip Nhcne <br /> t7 O L*] ' <br /> HC <br /> enan�— IAai Adtlress ity ip Phone <br /> � t�� r�,= ai,n..-F <br /> 4].. C� �Cy2��i.2.�, �;?�.s�i�i`L .�J,2( C��/h'c?titi?_ iG�� J�J",; r�S;F'.�t��� C�,N�' <br /> �"� C�, ectnca l.ontractor Ma� ��ddress ity ip hone icense R <br /> � yZ ..rg,�L•ati �C7��� �Lc�C�'�IuC OL.ii1F7F�J __ _ <br /> F-' H cntrac[ nce oi wor —�oposeO�Ilse o�e��9 <br /> g U, <br /> C� b V1 3.�.5 f ,JmQ/�!i L �Cl� J�1� I <br /> ro�ect dddress <br /> � �y Ju% Vl a�zn c t �=i2c /Ic;;,=,r� sh�,-£/� <br /> �.a p N iscription of Nork o e Done: <br /> �s <br /> � � , <br /> ��_ ,� NOiE: 'AhC 296-46-140 REOUIRES THAT PLANS FOR ELECTRICAL WORK AT E�UCATIOtIAL, INSTITUTIONAL OR HEALTH CARE FACILIT!ES <br /> BE APPROVED BY 7HE STATE OF WASHINGTON. APPLIGIITS WITH SUCH J0�5 NUST SI10W THE STATE APPROVE� PLANS BEFORE A <br /> ��:. � CITY OF EVERETT PERMIT 'dILL DE ISSUED. <br /> NOTE: WIRRIG IN IION-D'NELLItlGS IS REGUIRED TO �E Itl I4ETFl RACEl9AY5. <br /> �•� q� <br /> L+s <br /> I HEPEBY CEflTIFY THAT I HAVE READ ANO EXAMINED THIS j��3�C^� <br /> APPLICATION AND KNOW TNE SAME TO BE TRUE AND COF�RECL ALL /� 1 <br /> �� ! PFOVISIONS OF LAWS AND ORDINANCES GOVERNING THiS T{pE OF �J <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PP,ESUIdE TO GIVE <br /> p""4' �.. AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> . � OTHER STATE OR LOCAL LAW REGUTATING CONSTRUCTION OR THE . <br /> F EFFOR6IANGE OF CONSTRUCTION.THAT I AM AUTHOfl12ED BY THE 7/��. L�"L�� <br /> CVlNER OF THIS PROPERN TO FERPORM THE WORK FOR WHICH FEE `,�.�(,' � <br /> � A°PIICATION IS MADE AND I COMPLY WITH THE STATE <br /> �c � CONTRACTORS Ll�W iB27 RCW AND 296.200 WAC. <br /> X f� <br /> �' ��l,t�� /.���� //�i/�z <br /> :� �naturc Datc <br /> i <br />