Laserfiche WebLink
APPLICATION TOR�LECTRICAL P�'I2MI1' <br /> 4��11'd- <br /> crrr or•cvErtc�-r � <br /> ➢UR.DING DIVISION <br /> 3200 CC•DAR STREGT <br /> EVGRE7T,WA 98201 <br /> 259•8810 <br /> / �� � � �K�� �y��l'G%ic' �i%�/�Z.)'�� <br /> �.Q�D/�L1 �/Y /�1%�O /_.Y.� //lt' � <br /> Owner � hfail Address City SlatdZip phone <br /> « <br /> 7'eumt � �� � Mail Address - City Sm�dZip - Fhona <br /> %G/� <br /> Electriwl Contncbr hfail Addrcss City SlatdZip Phoue Sute Licenu No. <br /> /���/nn0 <br /> Contract Price of Work Pmposed Use o(Bw ding <br /> S`�'D/ /'�i-` ll1PGc//i:n� �!�% �C� <br /> Project AJdrrss . <br /> � � <br /> Dacrip�ion of Work�o Be Done:_ �!"-'�O /�/�!✓Ci" /�iy _ <br /> i �' � <br /> � t70TE:WpC 296-06•140 REQUIRES TI1AT PLANS FOR ELECfRICAL WORK AT EDUCATIONAL,INSTITUTIONAL OR <br /> HGALTH CARE FACILITIE•S BE APPROVED BY iHE SfATE OF WASIIINGTON. APPLICANTS WI'I'H SUCH lODS <br /> �tUST SHON'THE STATG HS�PROVED PLANS BEFORE C17'Y OF EVGRET?ERMIT WILL�E ISSUED. <br /> NOTE:\4IRING IN NON•DR'ELL[NGS IS REQUIRED TO➢E IN METALLIC RACEWAYS(MC AND AC,ARE CA[lLFS, <br /> NOT RACEWAYS). <br /> 1 HL•RE�S'CERT¢Y THAT I NAVE READ AND EXADtINED THIS APFLICATION AND KNOW T}IE SAhSE TO BE TRUE <br /> AND CORRECI'. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING TI�IS TYPE OF WURR WILL DL• <br /> COAIPLIS['ED\VITH WHEI'HER SPECIPIGD HEREIN OR NOT.THE GRAN77NG OF A PL•RMIT DOLS NOT PRESUME <br /> TO GIVG pUTHORITY 70 VIOLATE OR CANCEL THE FROV1510N5 OF ANY OTHER STA7E OR LOCAL LAW <br /> FtL•GULATING CONSTRUCf10N OR THE PERFORMANCE OF CONSTRUC170N. TIIAT 1 AAf AUTHORIZ[D UY TI{E <br /> O\VNER OP'f}11S PROPLRTY TO PERFORAS THE WORK POR R731CH APPLICATION]S LfADG AND I COMPLY WITH <br /> TI1E STATL•CONTRACTORS LAW 18.?7 RCW AND 296.200 WAC. <br /> \ ' i� t,� �c. <br /> �/ : � /� ��� �7%�-�� ��e�%- %'> fec � <br /> Signaluro ;' Date <br /> �Inefp n15/97) <br />