Laserfiche WebLink
APPLiCA� ,JN FOR ELECTRICAL"?ERMIT <br /> __.. _ . . __. cin oF EVEx�-r <br /> BUIIDING DIYISION <br /> . 3200 CEDM STREET <br /> • EVERETT, MA 98201 <br /> 2$9-8810 <br /> �'y e)-,/F� /���� i��J�L s� E✓�eri c�,r�,�'8;zod' 303�'�—_ <br /> �mner ai ddross <br /> ty tate/ p hone <br /> 5.��-� r4-5 LG�,I,�.Z <br /> enant ai ddress ity Cate ip one <br /> ZX-./,ve�? <br /> ectrica Contractor ai ress ty tate tip one tate cense o. <br /> �� . <br /> ontract rice o or ropose se o ui ding <br /> _�U �/ / �fJiZ c�. G-?�t�'tJ� c.JA <br /> Pro ect d ress � <br /> Discription of Nork To Be Done: G�/�./iCl(� ��4�77���G.,, �,.�-tf� ���Q ��jL.Z.(� <br /> �r.-n�. /�c->Gl77.�+L O�' �/ J ��bG'7g6fizlJ ��/�'X KfI`t'77er.*r—f' �eYc/�� <br /> �� Du.T..<T� 1,�. ,ac�i�a�-n S ,�G��/�t_ .7i�,,,w�—��✓r,2�,c7c <br /> /�NZ /lvl,cwr0 Sn�r� i.���z��.'L /iCS ���),,�. <br /> NOTE: WAC 296-46-140 REOUIRES THAT PIANS FOR ELECTRICAI WORK AT E�UCATIONAL� INSTITUTIONAL OR HEALTH CARE FACILITIES <br /> BE APPROVED BY 1�HE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE APPROVED PLANS BEFORE A <br /> ,CITY OF EVERETT PERMIT XILL BE ISSUED. � <br /> NOTE: XIRING IN NON-DWELLINGS IS REQUIRED TO BE IN CONDUIT. <br /> I HEREBY CERTIFY THAT I HAVE REAO AND' EXAMINED THIS <br /> APPUCATION AND KNOW THE SAME TO BE TqUE AND CORRECT.All <br /> PROVISIONS OF UWS AND UROINANCES GOVERNIN�THIS TYPE OF <br /> WORK WILL BE COMPLEiED WITH WHETHEA SPECIFIED HEREIN Ofl <br /> NOT. THE GRANTING OF A PERMIT OOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE Oq CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL LAW REGUUTING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT i AM AUTHORIZED BY THE � <br /> OWNER OF THIS PflOPERTY TO PERFORM THE WORK FOR WHICH p� �`h � <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE - <br /> CONTRACTOFS LAW 18.27 RCW AND 296. WAC. <br /> ,_-�— �'�7-� <br /> Sig�ature � Oate <br /> 3�� y <br />