Laserfiche WebLink
��� <br /> ��> � <br /> O71GC <br /> ry � <br /> �� � APFLICA� i0N FOR ELECTRICAL PERMIT <br /> H xl <br /> �H '� <br /> yH <br /> � �� everett <br /> � � g BUILDING DEPARTMENT <br /> c�� c� 259-8810 <br /> t" y� <br /> HH <br /> g �, , <br /> H <br /> �c�d � er Ma� Etlrcss �Cy �p hone <br /> Z�N �l.tlid�xs� C''c,ai� 1}�9 is'i'S� ��>.r«< <'s'c,v vc�-j:�Fc- <br /> y p N enant Ma� dEress tt�tp hone <br /> � ectrica ontractor ai COress �ity ip hone icense x <br /> �,d- � �LC c r'Pi� ���iD/ Gi�:�wc�rr�Y'd :�dC�c reo y(',�ZS 7�/�=39n.�� [L�CrT�:=•3g�/ <br /> � ontracC nc�Wor roposed se a 3utTing <br /> �.� i7 <br /> .<C'.S <br /> ro�ect tldress <br /> 7 <br /> � (nr�'3/ � l�.� S�G" .!c r 7 ,�i,�c�;z�-c�,� ir�x.c,v�c� <br /> ; - <br /> scrl�tton at Nork o �one: <br /> � � �:t 3 <br /> o��J� ��f'�C � .1/-�.SiJ�iG� lt'/.�''— <br /> � <br /> �C� � <br /> 1 � <br /> �� i <br /> I ��' I NOTE: MAC 296-46-140 REOUIRES THAT PLANS FOR ELECTRICAI WORK AT EDUCATIONAL� INSTITUTIONAL OR HEALTH CARE f� .ITIES <br /> , � BE APPROVEO BY THE STATE OF WASHINGTON. APPU CANTS WITH SUCH JOBS MUST SHON THE STATE APPROVED PLANS _ �ORE A <br /> CITY OF EVERETT PERMIT WILL 9E ISSUED. <br /> . � NOTE: WIRING IN NON-DWELLINGS IS REOUIRED TO BE IN METAL RACEtVAYS. <br /> II �� � <br /> I�, i <br /> � ' 1 HEREBY CERTIFY THAT I HAVE FEAD AND EXAMINED THIS � <br /> eI� � APPLICATION AND KNOW THE SAME TO BE TRUE AND CORREGT.ALL I, � � <br /> I PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF � . <br /> WORK WILL BE COMPLETE� WITH WHETHER SPECIFIED HEREIN OR <br /> NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE � ' <br /> ; ��+ I AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY � / � <br /> OTHER STATE OR LOCAI,LAW REGULATING CONSTiiUCTION OR THE <br /> i , PERFOFMANCE Of CONSTRUCTION.THAT I AM AUTHCRIZE�BY THE , 3� , D C% ��� <br /> � OWNER OF THIS PROPERN TO PERFOFM THE V.'ORK FOR WHICH FEE ' <br /> � APPLICATION IS MADE AND I COA7PLY 1VITH THE STATE ' <br /> CONTRACTORS LAW 1B.27 RCW AND Z%.200 WAi.. <br /> � I , . <br /> '+'� /" <br /> X ���� <br /> G�cf�cx`��ft%�"Z� 3-�3 - iJ- <br /> Stgnature Daie " � � �% � . <br />