Laserfiche WebLink
�3 � <br />� y <br />�HxN <br />Hz� <br />FC C] <br />H� <br />��� <br />� <br />yx <br />o�d <br />��g <br />� Y (� <br />H <br />?: H <br />� <br />C Ny <br />��y <br />HO� <br />APPLICATI��� FOR ELECTRiCAL �RMIT <br />CITY OF <br />everett <br />BUILDING DEPART�IENT <br />259•8810 <br />:1 . <br />�i�u N �'�`,��` S� ��-�. <br />�4�,,�'+� <<��3_, �`��3-�_��1y. <br />ss ty ip hone <br />c-.�..a �����—�o�. �,�.� �,���,�,�,� o �,;� ���u��� ���—S� �� <br />eni`^anC E a� Ad ress ity � Zip hone <br />('r.t�e� ��.Q: �c�.�e>ci��in Qu0.r.0 ��\1�l i��l �i�<�G�, �a-S�I--�VC�1 ��1�-It�SS14�-Lf <br />crcct�.ontractor ai ddress � ti y �ip hone cenae <br />oa[ract r ce o Wor r posed 0 o ut� ng <br />� \� ML'� c�,c,�� �'`� e�c-�' <br />Project tltlrets ` <br />Fi�Ii <br />��`cJ c \ L�\`\� �,1%e+._'«t%� <br />NOTE: WAC 296-46-140 REOUIRES THAT PLANS FOR ELECTRICAI WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br />BE APPROVED BY TI1E 5T�1TE OF WASHINGTON. APPLIfANTS NITH SUCH JOBS 11U5T SHOW THE STATE APPROVED PLANS �EFORE A <br />CITY OF EVERETT PERMIT '�VILL BE ISSUED. <br />tIOTE: WIRINC IN NON-DWELLINGS IS REOUIRED TO BE IN METAL RACEWhYS. <br />� 1 HEREBY CERTIF�Y THAT I HAVE READ AND EXAMINED THIS <br />APFLICATION AND KNOW THE SAME TO BE TR:1E AND CORRECT. ALL <br />'�' PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS NPE OF <br />� WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERM�T DOES NOT PRESUME TO GIVE <br />�' AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />�' PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORRED BY THE <br />� OWNER GF THIS PFOPERTY TO PERFORM 1'NE WORK FOR WHICH <br />APPIICATION IS MADE ANO 1 COMPLY WITH THE STATE <br />CONTRACTORS LAW iB27 RCW ANO 296.200 WAC. <br />X , <br />����. �� c'� �� „� � , �ti • aS�.S� <br />`Stgnature Date <br />FEE ���� <br />!' <br />.>7 S_C / <br />