Laserfiche WebLink
APPLICATION TOR ELL'CTRIC:�L PERMIT <br /> crrr or ev�urr � <br /> f1UiLDiNG DIV[SION <br /> 3200 CEDAR STREGT <br /> LV[RE"fl',k'A 98201 259-8810 <br /> � � l�an� N1��1 Il� � v� � C-- � 'e n� � �r1 'id'Jr3 3'> 7-c3�/3 <br /> Owner Mail Addreu City Slate/Zip Phone <br /> �Teoaul � Mail AdJress City Smte/Zip � Phonc <br /> o737s-130S�Y1�Nl-�-f07. <br /> T�r-,oL 5{t7t�MS/NC /36�CFuc E� ���R- QPGY'�S JiY.�-SPl-7131 J-'i�rilt�s✓A7dD3 <br /> Llcctrical Confractor Mail AJdmss Cily SGIelZip Phooc Sta�c Liunsc No. <br /> Contract Price o!Work ProposW Use of➢uilJing <br /> 5'�#Mc; A 5 Al�'';Jt: <br /> rro���naa�s <br /> Ducnption o(W ork�o IIe Done:��,�(.Lj� SY'�'7�n4 <br /> - NOTG:WAC 296-46440 RLQUfRLS THAT PLANS FOR ELCCTRICAL WORK AT LDUCATIONAL,INS7'ITUTIONAL OR <br /> ]IEALTH CARE FACILITILS IIE APPROVED ➢Y THH SCATE OF WASHINGTON. MPLICANTS WITH SUCI3 IOIIS <br /> MUST SHOW THL•STATE APPROVED PLANS BLPORG CCfY OF L•VERGT PERMIT WILL IIH ISSUED. <br /> NOTG:\VIRiNG IN NON-DWELLINGS IS RE•QUIRL•D TO DE 1N MEI'ALUC RACEWAYS @fC AND AC, AR6 CAFiL[S, <br /> NOT RACGWAYS). <br /> I HLRL•�Y CERTIFY THAT 1 HAVL READ AND EXAMINLD THIS APPLICATION AND Y.NOW THG SAME TO�E TRUG <br /> AND CORRGCf. ALL FROVISIONS OP LAWS AND ORDWANCES GOVERNING THIS TYPf OP WORK K7LL �G <br /> COMPLGTED WITH WHETHER SPECIFIGD HGRLIN OR NOT.THL GRANTING OF A PERMR DO[5 NOT PRGSUhfE• <br /> TO GIVL AUTHORIi'Y TO VIOLATG OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LA\V <br /> HLGULATING COhSTRUCTION OR THG PGRPORMANCG OF CONSTRUCI']ON. THAT 1 AM AU7'FiORIZGD OY T}iE <br /> OWNL•R OF THIS PROPLRTY TO PERiORM THE WORK iOR\VHIC[d APPUCATION IS MADE•AND 1 COTIFLY WITH <br /> TI9L STATG CON7RACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> � '✓utl�c��C[� � r��`�30.C�� <br /> Signa�u�+ Daie <br /> 1 - ��«�rr P�Sro) <br />