Laserfiche WebLink
APPLICATION FOR ELECTRICAL PERMIT <br /> y n i..r cirv oF <br /> ��� everett <br /> p�x BUILDING DEPARTMENT <br /> a y y 259-8810 <br /> Y <br /> a �H <br /> K � <br /> H �1 <br /> "�U H'il <br /> yl-/ ner Mai ddrcss �ty i� hon'�c <br /> � �� �4 �-f"i' �/t N�r' 'Z�l�� "l�C�� 11�tz�. '`��" � � 'll -- <br /> ,7 ��a� a� d ress �[y ip��one <br /> OH <br /> �� � ectr ca ontractor ai dEress �ty iD hone �cense a <br /> zH� I1�0��1t i��' I ( VI �TI�I'(�([�E(' �il� d�k� � r ���/f ;�2 ,1 �Sz"n3'�I �Icv��/(i«�/a0cic)Z <br /> Y H ontract ricc o'�wor —��opo�' se o TiTding <br /> i <br /> ~ y ��b ��I�S OLl <br /> y <br /> M ro,7ect ddress <br /> C] Cy[/i <br /> � � � � �Q�F l�Ct • <br /> �� Cr9 �scriptian o�k lo Be onc: , . <br /> HOtyi� ' 1, � <br /> '� ' � l,V L � l� <br /> � ���1 F.,,,, _')���� - �) / ��� <br /> i <br /> I —� <br /> � <br /> NOTE: WAC 296-46-140 REOUIRES iHAT PLANS FOR ELECTRICAL h'ORK AT EDUCATIOIJAL� INSTITUTIONAL OR HEALTH CARE FhCIIITIES <br /> � �E APPROVED BY THE STATE OF WASHINGTOIL APPU CANTS WITH SUCH J0�5 MUST SHOK TH: STATE APPROVED PLAt75 BEFORE h <br /> � CITY OF EVERETI PERMIi WILL BE ISSUEU. <br /> I �� <br /> NOtE: WIRINf, IN NON-�N'ELLINGS IS REOUIRED TO �E IW METAL ftACEWAYS. <br /> �� <br /> I 4EREBY CERTIFY THAT I HAVE 9�A0 AND EXAMINE� THIS <br /> APPLICATION AND KNOW THE SAME TCU BE TRUE AND CORREC7.ALL <br /> PROVISIONS OF lAWS AND ORDINANCES GOVERNING THIS iYPE OF <br /> '_1=' WORK WILL BE COMPLETED WITH WIIETHER SPECIFIEO HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> , AUTHORITY 10 VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL LAW REGUI.ATING CONS7Rl1CTi0N OR T�1E <br /> PERFORIr1ANCE OF CONSTRUCTION.THAT I AtA AUTHORI2ED 8V THE J'' <br /> OH'NER OF THIS PROPEFTY TO PERFORM THE WORK FOR WHICH FEE �J .��! <br /> �_ APPLICATION IS MADE AND I COMPLV WI7H THE STA7E <br /> CONTRACTORS LAW 18.27 RCW AND 296200 WAC. <br /> �X �7 ,) <br /> ,�/� l"/�G�iF l�N'�, '�/_ �)� -�? <br /> Signaturc Date <br /> / ��,� <br /> i�` 7 <br />