Laserfiche WebLink
� APPLI�ATION FOR ELECTRI�AL PERMIT <br /> everett <br /> BUILDING OEPP.HTMENT _ � � <br /> 259-8810 <br /> RAi�lA�� J. KArn� 102% �(,�Lr{r��o. Aar. �rvr� Jf`�i 31y-5S�9 <br /> �wner • aaresa cltY Zip �one <br /> N/A <br /> Tenant ei aare�a ctty Zip —P one <br /> f(�F <br /> ectr ea ntractor a reas ty p one cenae <br /> Co�r�ect��e� or �paser�se o u ng . <br /> ioz� k:�.�.,4�dF. A�. . <br /> ro ect rasa <br /> acr pC on o or o one: <br /> � MSi�r[C toAl� fENff�� (I .IITInb ANJ ��[LMArCkS 1N (ARq(E <br /> NOTE: XAC 296-06-140 REpU1RE5 11NT PLANS FOR ELECTRIGL IIOftK AT EUIIGTIONAL, INSTITUTIOtUL OR HEALTH GRE FACILI' <br /> - BE MPROYED 8Y TNE SiATE OF MASHINGTON. MPLIGNTS MI7H SUCH J095 MUST SHOX TNE STATE MPROVED PIANS BEFOI <br /> CITY OF EVERETT PERMIT MILL BE ISSUED. . <br /> NOTE: MIRING IN NON-DMELLINLS IS REOUIflED TO BE IN NETA4 MCEMAYS. <br /> I HEREBY CERTIFV THAT I HAVE REA�ANO EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO 9E TRUE AND CARRECT.ALL <br /> PROVISIONS OF UWS AND ORDINANCES GOVERNING Ti15 7YPE OF ' <br /> WORK WILL BE COMPLETED WRH WMETNER SPECIFIED HEflEIN OR � <br /> NGT.THE GMNTING OF A PEFMIT DOES NOT PRESUME TO GIVE <br /> AUTHORIN TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL LAW flEGUUTING CONSTRUCTION OR iHE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AU(HOHIZEO BY THE <br /> OWNER OF 7HIS PROPERTY TO PERFORM THE WOflK FOA WHICH FEE <br /> APPLICATION�IS MADE AND I COMPLY WITM THE STATE <br /> CONTMCTORS LAW 1BR7 RCW AND II96.200 WAC. <br /> X /��/�/�✓F ��7�J..' ' <br /> SlgnaYur���� Date <br /> J,7 y<, y <br />