Laserfiche WebLink
� <br /> APPLICATI01. FOR ELECTRICAL P�:;MIT <br /> ITY OF <br /> everett <br /> 3UILDING DEPARTMENT <br /> ?59•8810 '� <br /> /�r�,ek /%�L�s <br /> Uwner a ddress ty p hone <br /> /�/S— w-e�i�-rr���e �v-e.f-�fi1'' 9�r�o� �'� 9 5/� 7 <br /> enane a ress ty p � one <br /> eetr ea ontractor a ress Cy p aee cense <br /> /�L�/.(i _ �.e._ <br /> oneract r ce o or ropoaea ose or auiiatnq - <br /> /�/S GfJ-e_�n�o�-2__ <br /> ro eet A�re`ss <br /> (�C�LP�l al.�..0 SR2LlJ ?� 4 G�oC�/ <br /> 0 scr pt on o ar o e ne: <br /> NOtE: MAC 296-w6-140 REOUIRES TF41T PUNS FOR ELECTRIGL MORK AT EDUGTIONAL, INSTITUTIONAL OR HEALTH CARE FACILIilES <br /> BE APPROVED BY THE STA1E OF XASHINCTON. APPLICANTS MITH SUCH JOBS MUST SHOM THE STAiE APPROVED PWIS BEFORE A <br /> CITY OF EVEREiT PERMIT MILL BE ISSUED. <br /> PIOiE: MIR�NG IN NON-DNELLINCS IS REOUIRED TO BE IN METAL RACEXAYS. <br /> I HEREBY CERTIFY THAT I HAVE PEAD AND E%11MINED THIS <br /> APPLICATION IWD KNOW THE SAME TO BE TRUE AND COApECT.ALl <br /> PROVtS10N3 OF UWY$AND ORDINANCES GOVERNING THIS 7YPE OF <br /> WORK WIIL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE ORANTINO OF A PERMIT UOES NOT PRESUME TO O�VE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OH LOCAL lAW REGUUTIN6 CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORI2E0 BY THE � <br /> ONMER OP THIS PROPERTY TO PERFORM THE WORK FOR WHICH FEE c�J <br /> APPIICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> CON?MCTORS LAW 18.27 flCW AND 296.200 WAC. <br /> X ���i�'- 7`� � ' /D - �z /� <br /> Sign ure Date Zj��� <br /> ✓ <br />