Laserfiche WebLink
q � C <br /> y APPLICATIdN FQR ELECTRICAL PERMIT <br /> � � <br /> q �] N <br /> H Z H <br /> K y p <br /> � y � 11N G� . <br /> � � � �verett <br /> 3UILDING DEPARTt.IENT E <br /> � � o ?59•8810 � <br /> .. roR , <br /> � • <br /> � 35�,� /� �'�r..eff 9�t�� o�2sS• �l33/ <br /> r � '� Il�Al `O.✓ .�'✓� A-•f9w�`J ', <br /> �tY hone � <br /> nO N ,�ne�n { Ma� dEress �n <br /> s, N �• /'�/�l � honc <br /> y e�i zi Edress ��Y P <br /> H O N ✓ • <br /> SA'j✓�P � hone �cense p � <br /> Ficctn ca ontractor a� d ress �t1' P ' <br /> — roposc sc o u� ding <br /> .ontratt r��e a Wo� <br /> i <br /> 'ro�ect �ddress , / �^ / � I <br /> ��/O � ' V fW Cn(J� ✓C Z�//....� ri'' r <br /> iscnpt�a^ o��ork o e one: I <br /> , �� � <br /> /�� <br /> I �� � <br /> 1 _ I <br /> � '_` <br /> ��1 NOTE: M'AC 296-46-140 REOUIRfS THAT PLAt75 FOR ELECTR�CAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALiH CARE FACILITIES <br /> � EE f�PPROVED BY THE STATE OF WASHIIlGiON. RPPLILANTS WITH SUCH J065 MUS7 SHOW THE STATE APPROVED PLANS BEFORE A <br /> CITY OF EVERETi PERMIT NILL BE ISSUED. <br /> NOTE: WIRING IN NON-D'�ELLINGS IS REOUIRED TO BE IN METAL RACEWAYS. <br /> I .�� � � �"� . <br /> � Lr <br /> `��' I HEREBY CERTIFY THAT I HAVE REAO A�JD E%AMIN:D THIS <br /> ��s1 APPLICATION AND KNOW THE SAME TO BE TPUE AND CORRECT.AI-L <br /> PRO�ISIONS OF LAWS AND ORDINANCES GOVEANING THIS NPE OF <br /> WORK W�LL BE COMPLETED WITH YJHETHEfl SPEG�FIED HEREIN nR <br /> � '�� _ NOT. 7HE GR�NTING OF A PERMI i DOES NOT PRESUME TO GIVE l <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVIS ONS OF ANY <br /> �..• � - OTHER STATE OR IOCAL LAW REGULA7ING CONSTFU]TION OF TNE ',' <br /> PERFORMANCE OF CONSTRUGTION.THAT I AM AUTHIIFIZED BY THE .'��� <br /> � OWNEFl OF THIS PROPEFiN TO PEPFORM THE WORK FOR WNICH hEE <br /> CONTRACTORS LAVd 118.P7 RCW AND 2 6.00 WAC'TF� TFIE STATE <br /> \ 10 � <br /> �-' X ��I 3,a 7•�L- <br /> Date <br /> 5ignaturc . <br />