Laserfiche WebLink
" �. <br /> APPLICATI�n� FOR ELECTRICAL �'RMIT <br /> CITV OF <br /> evere#-t <br /> BUILDING DEPARTMENT • <br /> 259-8810 <br /> � �. wA-��.CrJ O„G✓� a � � � idw.u✓ �'l'J�Z 4/ A�D.✓Q, <br /> ner a dAress l. ty p hone <br /> enant a tl ress .�ty ip one <br /> . ���, ;� ,�/ -��o� �NP S� �, tit� � �35:�35'/ �c.�ss�si.s.��ue, <br /> ectr ca loneractor�ai d ress ty p on�—L eense <br /> f <br /> 5 antract r ce o or roposea se o u d ng <br /> .S/JyN � <br /> � ro eCt dress <br /> � scnpt on o ' ork/ o e one: � <br /> k -J�"� T � O U /'i""i/"� �..t�v ✓i C� — <br /> NOTE: MAC 296-46-1k0 REOUIRES THAT PLANS FOR ELECTRICAL XORK AT EUUCAT�ONAL� INSTITUTIONAL OR HEALTH CARE FACILITIES <br /> i BE MPROVED BY THE STATE OF M�SHINGTON. APPLICANTS MITH SUCH JOBS MUST SHOX THE STATE APPROVED PLANS BEFORE � <br /> �� CITY OF EVERETT PERHIT XILL BE ISSUED. <br /> ` NOTE: NIRING IN NON-DWELLINGS IS REOUIRED TO BE IN METAL RACENAYS. <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND COHRECL ALL <br /> PROVISIONS OF UWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> � WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> - NOT. THE QRRNTIN6 OF A PERM�T DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> UTHER STATE OFi IOCAL LAW REGULATING CON;;TRUCTtON OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORI7.ED BY THE 2� <br /> � OWNER OF TtiIS PROPERTY TO PERFOHM THE WORK FOR WHICH FEE J <br /> APPLICATION IS MADE ANO I COMPLY WITH THE STATE <br /> CON7RACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> X ,� l�l��-L.�.., � _� �--,� <br /> � <br /> Signature Date <br /> ���� � a <br />