Laserfiche WebLink
H � <br />O�H <br />�Hy <br />K�G'7 <br />H �1 <br />� M 'sl <br />p� H <br />t�l O � <br />OH <br />��g <br />�Y � <br />z��yH <br />r t-� H <br />8y <br />H <br />C] C� [� <br />� �y (�l <br />O� <br />W <br />! �� <br />I <br />�� <br />APPLICAi �JN FOR ELECTRICAL r'ERMIT <br />,�� <br />I_ 1/+'Y-.�7'� <br />cin oF Evmerr <br />❑UIIDING DIVISION <br />3200 CmAR STRE[T <br />I:VQi[TT, YA 98201 <br />�' -2 <br />enant Mai dEress �ty tutr' , hone <br />ontract rice a ork roposed Use o uilding <br />/9/',2 l/, N v/��r <br />r�aject dd�ss � <br />, <br />Discription of Work To Be Done: G� r � fl/• Vi f c <br />NOTE: WAC 296-46-140 REOUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL� INSTITUTIONAL OR HEALTH CARE fACILITIES <br />BE APPROVED BY ifiE STATE OF WASHINGTON. APPIICANTS WITH SUCH JOBS MUST SHOW THE STATE APPROVED PLANS BEFORE A <br />_CITY OF EVERETT FERMIT WILL DE ISSUED. . <br />NOTE: WIRINC IN NON-DWELLINGS IS REOUIRED TO BE IN COND'JIT. <br />1 HEREBY CERTIFY THAT I HAVE READ AND� FXAMINEO THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AN� COFRECT. ALL <br />PFiOVISIONS OF LA\' l AND OFDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COl, =TED WITH WHETHER SPECIFIED HEREIN Ofl <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE Ofl CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORI2ED BY THE <br />OWNER OF THIS PROPER7Y TO PERfOiiM THE WOFK fOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RGW ANO 296.200 WAC. <br />X % � <br />'gnature r Oate <br />FEE <br />i <br />:� <br />,�>t I �, �. L <br />', I <br />