Laserfiche WebLink
� � <br /> � � x APPLICATf':`N FOR ELECTRICAL :��RMIT <br /> � H %1 <br /> '�E I�-� q00 <br /> Vl H <br /> � � � f.ITYCF <br /> o � evereit <br /> � ro � 5UILDING DEPAFT\fENT <br /> � H � 259-8870 <br /> H <br /> H <br /> N H �� � <br /> o H \ � � �\�e�-1- ��,re,rt �i?�7o � 33p 382Z <br /> � � � �.�s� <br /> y ner Mai Adaress ity io hone <br /> O N <br /> enant Mai Gtlress Z� �tYL � 1p hone � N <br /> �.� S wD�s c_Gzc _ nxs.� ���� 48z-7o S(A��'Ee ���.w <br /> ectnca ontractor ai �dress ���Y �P <br /> hone �cense x <br /> ontract rite o Work ropose Use o ui atng <br /> �d3oo S�-i.�� u w wu � � e �BZfJ� <br /> ro�ect . OEress /� � �� <br /> ( �s�.l.� l.i(J�v �w4.J� <br /> iscription of 'Nork io e one: <br /> � �� <br /> 1 <br /> � �� <br /> ��� � <br /> � IlOTE: WAC 296-46-140 RL,JIRES iHAT PLiNS FOR ELECTRICPL wORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH C�1RE FACILITIES <br /> I �,� CITYPOF EVERETT�PERMITTNI�L BESHSSUEDN. APPLICl .TS WITN SUCH JO85 MUST SHOW THE STATE APPROVED PLANS BEFORE A <br /> NOTE: 'MIRING IN NON-DWELLINGS IS REOUIRED TO 0E IN METAL RACEWAYS. <br /> � 1_� <br /> I HEREBY CEPTIFV THAT I HAVE �7EA0 AND ':XP.td�NED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TAUE AND CORRECT.ALL <br /> �� PfiOVISIONS OF LAWS At�D ORDINANCES GOVEFNING THIS NPE OF <br /> � I t_1 WORK\41LL BE COMPLETED WITH WHETHER�PECIfIEO ntR[IN OA <br /> NOT. THE GR�NTiNG OF A PERMIT DOES NJT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THt PROVISIONS OF ANV <br /> � PERFOiiMANCE OF OONSTRUCTION.�THATG AM AUTHORI ED BY THE 7 ��n___- <br /> '�1�' OWNEfl OF THIS PROPERTY TO PEFFORM THE WORK FOR WHICH FEE \ 5�/ � <br /> APPLICATION IS MADE � D I COMPLY WITH THE STATE <br /> . CONTRA 7�6��WJ8.27 RC ND 296.200 WAC. <br /> X� _ <br /> Signature Date <br /> \ <br /> \,�� <br /> 1 <br /> � � � <br /> �/l. <br />