Laserfiche WebLink
� � <br />N <br />iHV� <br />H � i-�+ <br />� H� <br />'� Fxi' tl <br />N M <br />�Q� <br />H�g <br />Q r (g) <br />�yH <br />� M <br />gy <br />H <br />�y����y+++ <br />��y <br />t�7 <br />APPLICAI UN FOR ELECTRICAL� �ERMIT <br />�� <br />�� <br />259-8810 <br />hLlfi 2 / 3 Z <br />r� <br />�zo� <br />cin oF tvExerr <br />WILDINC DIVISION <br />3200 CmAR STREET <br />EVQtETT� MA 98201 <br />2- <br />enant a d ress +ty tate ip ane <br />��i�r i-c�� �o�s� ,��� _r-v- w�- s�z�i zs�-ys9� �����ti��y�9cr-' <br />eetr ca o ractor a ddjess ity tate ip hane tate icense o. <br />% ��0�] � ' �h � !'"�'� I1�ZS. <br />ontract r ce o or ropo�� sed lse u ding <br />2 //�� h%6/� C�N/J �-I/� ' <br />ro ect .da •ess � ' <br />Discription of Wor4 To Be Done: ��%u �i�i1� ��} w/ .3 �ZS �/�' 1b S(�� '�"�"{/��jv <br />NOTE: %AC 296-46-140 REOUIRES THAT PLANS FOR ELECTRICAL WORK AT EOUCATIONAL, INSTITUTIONAL OR HEALTH GRE FACILITIES <br />BE APPROVED BY THE STATE OF WASHINCTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE APPRO'/ED PLANS BEFORE A <br />_CITY OF EVERETT PERMIT XILL BE ISSUED. ,, ' <br />NOTE: MIRINC IN NON-DWELLINCS IS REOl11RED TO BE IN CONDUIT. <br />I HEREBY CERTIFY THAT I HAVE READ AND' EXAMINED THIS <br />APPUCATON ANO KNOW THE SAFAE TO BE TRUE AND CORRECT. AlL <br />PROVISIONS OF UWS AND ORDINANCES tiOVERNING THIS TYPE OF <br />WORK WILL BE COMPLETED WITH WHE7HER SPECIFlEO HEREIN OR <br />NOT. THE GRAN7ING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHOFITY TO VIOl.1TE OR CANCEL THE PROVISIONS OF ANY <br />OTHEfl STATE OR LOCAI LAW REGUUTING CONSTRUCTION OR THE <br />PERFOFMANCE Of CONSTflUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTOHS UW 18.27 RCW AND 296.200 WAC. <br />X � ' � �� fz -� -sZ _ <br />Sig ature Date <br />(/ w <br />FEE �/ Z <br />3�q�-� <br />n� <br />