Laserfiche WebLink
APPLICATION FOR EL�CTRICAL PEI2114I1' <br /> crrr or�vexErr � <br /> nuttmNc nrvis�oN <br /> 7200 CLDAR STREF:'f <br /> L-VERE7T,WA 98201 <br /> 259•88f0 <br /> lir��DA(� �i�TT ����II/� (.�� /1�( �?c� (�nl�'�rr qRGL�Y /�f%-J373 <br /> Owner h1ai1 Address Cily Smld2ip Phone <br /> 7'eoanl � � Mail Address City StatdZip Phonc <br /> TE-// <br /> Elatrial Contnetor hlail Address Cily StaldZip Phone Stale Liccuse No. <br /> L�J�'/�h�� <br /> Contnct Price o(Work Pm�wsul Use of�uilding <br /> SS%q /s�- i',-�SL NA�tiif i?n��t L oT3�/ <br /> r�o��i aaa�� <br /> Drscription o(WorA to Bc Done: /P_��r On�r _ <br /> NOT[::WAC 296-46-140 REQUiRES THAT PLANS FOR ELECfRICAL WORK AT EDUCATIONAL,INSTITU'i'fONAL OR <br /> HEALTii C/il2E FACILTTIES BE APPROVED BY THE STATE OF WASHINGTON. MPLICANTS WI'fFi SUCH )�DS <br /> MUST SHOW THE STATE APFROVED PLANS BEFORL CRY OF GVEREI'PLRMIT WILL�E ISSUED. <br /> NOTG:WIRING IN NON•DWL•LLiNGS 15 REQUIRGD TO BE IN A1L•TALLIC RACEWAYS(MC AND AC, ARE CADL[S, <br /> NOT RACEWAYS). <br /> I HLREUY CERTIFY TFIAT I HAVE READ AND EXAMINLD THIS APPLiCATION AND KNOW THC•SAMG TO BG 7RUE <br /> AND CORRECI'. ALL PROVISIONS OF LAWS AND ORDINANCL•5 GOVERNING THIS TYPE OF WORK WILL BE <br /> " PLL•TGD WRF?WHE7'HER.cpGC[FIHD HGRLIN OR NOT. THE GRANTING OF A PL•RT1fC DOES NOT PRESU�dE <br /> TO GIVG AUTHORITY 70 VIOLATE OR CANCGL THE PROVISIONS OF ANY OP?GR STATG OR LOCAL LAW <br /> REGULATING CONSTRUCfION OR TI1G PGRFOiNiANCE OF CONSTRUCI70N. TNAT I A�t AU77iOR12GD UY T}1E <br /> OWNER OF THIS FROPERTY TO PERFORM THE WOFU:FOR WHICH APPLICATION IS MADG AND I COMPLY WITH <br /> 779E STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> X <br /> /�,/��v/�v.� l'/`/�`�3 r•� i!i <br /> Signanim � Dale <br /> �����5� <br /> ei«.rr Prsro�� <br />