Laserfiche WebLink
TWN FOR ELELTRICAL NERMIT I <br /> APPLICA <br /> H �.�,rv cF � i, <br /> ��'� 2VQY��� , I <br /> p�x 3UILDINGDEPARTMENT �:�' � <br /> a y y :59•8810 <br /> y �; �p��l <br /> � � , <br /> K <� � <br /> H� <br /> o mo <br /> �1�^�mRS Pu�J�S 9 ,o Z .� n%� �� �� EU��;Err r& zi��, ���s • �. 77 I <br /> � N F� :�ner Mel Aearess c���-�r�7�'nane <br /> �P hone � /� <br /> � y� �enant � , • ai aaresz � tY � ' c/5 • ��1_�7 'C�it'l )`k �`Jy=''-�-[' . <br /> o � � ,, £c�u�C. oe� i3- - 1 -F E � �" yd �fi 7 _ <br /> H �� _ ecenca oncraccor a� aare.s ty ip none icense • <br /> �V � � �� � <br /> H <br /> x r� ovosea u e o ui a� g <br /> > yZ .antract—Pnce o 'aork <br /> t� <br /> �H 9�,` � 'i "1 �\ ��� �u� `,f- • <br /> y N rro)ect �1GEress <br /> 8dy � <br /> IcJ —��rA�� NE �.J ' � �LytU , c. E � RiL�: � At� VJiR �_ <br /> �iJ �[riJ :iscripLion o 'NOfk o c Onc: <br /> � o� -��� � -r-� � �ti �nnA <br /> i, 'IO7E: WAC 296-46-1Y0 REOUIRES THAT PL1N5 FOR ELECTftICAL NORK AT EDl1CATI0NAL, INSiITUTIONAL OR HEALTH CARE FACILITIES <br /> 0E APPROVED BY THE SiATE OF WASHItIGTOtI. APPLICANTS MITH SUCH JOBS MUST SHO'�V THE STATE APPHOVED PLANS BEFORE A <br /> � C17Y OF EVERETT PERNIT WILL BE ISSUED. <br /> !� � 7lOTE: WIRINC IN NOtI-DWELLRIGS IS REOUIRED TO BE R! HETAI RACEHAYS. <br /> r�� J <br /> /'� % <br /> r J <br /> I HEfiE9Y CERTIFY THAT I HAVE READ AND EXAMINED THIS J <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND COfiRECT.ALL <br /> PROVISIONS OF LAWS A��D OFD�NANCES GO`/EPNING THIS NPE OF <br /> I ( � WORK WILL BE COlAPLEi ED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERlAIT DOES NOT PFESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE , <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE -� — �'�' <br /> �� -.► OWNER OF THIS PROPERN TO PERFORM THE WORK FOR WHICH FEE �1�1 ' <br /> APPLICATION IS MAOE AND I COMPLY WITH THE STATE <br /> CONTRACTOHS lAW 18.27 RGW AND 2%.200 WAC. <br /> � <br /> ��� X r.�' � �- i/ 92 <br /> :.:���..J�,����1 — <br /> , .. Signature Date <br />