Laserfiche WebLink
� <br />� � <br /> � , , � <br /> �,z,._. <br /> APPLICAT%�N FOR ELECTRICAL�ERMIT <br /> t: <br /> i� <br /> CI7Y OF <br /> everett <br /> BUILDING DEPARTMENT . <br /> ��y 259-8810 <br /> Ct� <br /> ,o�ax <br /> �H� <br /> H �a Q 1 Z5�1 m�.- � c=u . tl� <br /> y H ��� Mail AdOr ss City ip hone <br /> O C�O �C (<' hone <br /> '� H"U enant Mai tldress ity �p <br /> y �'" �e c-1 � �. <br /> x �� �.�irc i���y �B�``SI.N t,�51��<w5 9aa5F� 339-5�1�°l ict�� ��o�c <br /> �s p� ectnca ontractor Mai atlress �ty ip hone icense # . <br /> y \c5�c�er�< E <br /> � �g ontract nceTWork roposed Use of tluiTing <br /> z H� 5a\ rna � <br /> yH <br /> roject ddress <br /> r �-+H <br /> �H iscription o Work o e one:t r <br /> � �� �2�4, ra���4 �n- r��� .,� c.cc�'1 - rerno�� g�,»� k�.o�� : �,.�Oe. <br /> H O[n w �c. c`l�o� w � � ; ._ <br /> NOTE: WAC 296-46-740 REOUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL� INSTITUTIONAL OR HEALTH CARE fACILITIES <br /> I� APPROVED BY THE STATE OF MASHINGTON. APPLICANTS MITH SUCH JOBS NUST SHOW THE STATE APPRUVED PLANS BEFORE A <br /> �� BE <br /> II CITY OF EVERETT PERMIT WILL BE ISSUED. <br /> I NOTE: WIRING IN NON-OWELLINGS IS REOUIRED TO BE IN CONDUIT. <br /> � ' I <br /> �..y <br /> I HEREBY CERTIFY THAT I HAVE READ ANO E%AMINED THIS i <br /> APPLICATION AN�KNOW THE SAME TO BE TRUE hND CORFECL ALL � <br /> .�v PROVISIONS OF U1WS AND OROINANCES GOVEPNING TF!IS TYPE OF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OFi <br /> NOT. THE GRAVTING OF A fERM�T DOES NOT PFESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEI THE PROVISIONS CF ANV <br /> I ' � OTHER STATE OR LOCAL LAW FiEGULATING CONSTRUCTION OR THE � <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHOFIZED BY THE l <br /> OWNER OF THIS PROPERTY TO PERFI..`M THE WORK FOR WHICH FEE fc7�J <br /> APPLICATION IS MADE AND I (;OMPLY WITH THE STATE <br /> ' 'i CONTRACTORS LAW 1827 RCW AND 296.200 WAC. <br /> X ��.� �a�� 9 <br /> �' Signatur Date <br /> a <br /> .J���� _ :., , - -.. .- <br />