Laserfiche WebLink
��� <br />a � <br />� `� <br />� <br />H <br />� � '��L <br />p� i <br />[•f�� <br />��g <br />o• o <br />� N <br />�y <br />�y M• <br />f� � W <br />�H� <br />O <br />n <br />7 <br />; in <br />APPLICATI� FOR ELECTRICAL F`�";�`RMIT <br />i rr or- <br />CVL't'f'�� <br />tUILGIMG DEPARTtiIENT <br />'.59-8870 <br />rc <br />--, , _ _ <br />�, i��;� '_, l5 ii ,_r �i j�; � j <br />._� :_ � API; 1 7 i�g, . `+ � <br />...... c :................... <br />cirY oF .............. ... <br />�vrRErr <br />Publlc Wa��s Dept. <br />�-dL-2C--� '1S7n3 <br />-.3Y (o I <br />TenanC 1 Ma� �tldres5 6�ty �p Yhane .y <br />� I L. � /� ��,,, //l 1 <br />� `LJP )Pli't.l �O�ii� JI/CC(����r1)I�a GJ7✓V� r�l� . uGi �Ugi.�: <br />c ec[n ca 6on rac[or Ma ddre,s U Ly �� Phone icense # <br />� ��y.�� -.-- . _' roposc ll��� Uu��Jin9ti— <br />f.ontrar.t i r�cc o Wor <br />,.,..... ;.,l�_� __�_ G�,,,,..,,� rn,,,-:I�,�� i,�A q$a�3 - <br />110tE:� BECAPPROVED�BY THEUSTATEtOFTWA511tIHGTON ELn��LICANTS WITHTSUCICJ0�5'JNUSi'SiONTTIE STATERAPPROVEDCPLANSABE OREEA <br />CITY OF EVERETT PERPIIT 'AILL OE ISSUED. <br />IIOTE: 'NIRItIC I11 110t1-DWELLINGS IS REOUIflED TO OE It1 14EThL RACEWAYS. <br />I HEREBY CERTIFY THAT I HAVE REA� AND EXAM1IINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND COfiRECT. ALL <br />PFiCVISIONS OF LAWS AND OFDINP.NCES GOVEFNING TIIIS NPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIf-IED HEREIN OR <br />NOT. THE GRANTING Of- A PERMIT OOES NOT PRESUME TO GIVE <br />�UTHORITY TO VIOLATE OFi CANCEL THE PfiOVISIOt1S OF ANY <br />OTHER ST�TE OR IOCAL LAW REGULl�TING CONSTRUCTION OR THE <br />PERFOPMANCE OF CONSTfiUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERT! TO PERFORM TFiE WOfiK fOR WHICH <br />APPLICATION IS MADE AND I COMPLY YlI1H THE STATE <br />CONTPACTORS LAW 78.27 RCW AND 296200 WAC. <br />X �.{�,.na r3-n�' t,� -/,5-%=Z <br />Signaturc Date <br />FEE _JO O � <br />� 63 �o <br />, <br />