Laserfiche WebLink
�. � <br /> APPLICAT�.iN FOR ELECTRICALr. �ERMIT <br /> y�� :ITVOF <br /> � ever�t# <br /> A�� 9UILDING DEPARTMENT <br /> a Hx t~i� 259•8870 � I <br /> H x H � 1�� ��. <br /> tC y� I /� � <br /> � � ('L 4-V� � ZC� <br /> ro �� , :JI27 �NUlew �1�f � '� �, <br /> N�"� �ail Paaress W y +p nane <br /> � �� ner <br /> C7 ���q Mal AGtlfe55 Cy tp hOne !Je <br /> � �g /-fn�-' ic. � � �1C� 14! `�� `��;nnLLrr� PI'SG� ,�✓. 77��6�1=� GcX�1�l�� <br /> ��`i, h0 G tClOS! R <br /> Etectnca ontractor ai Tress ^ <br /> � y� �� ��7 � — Jf"#=- <br /> z ontract r�ce o Wor ( ropose0 se o ui d ng <br /> 8 V�y �'� I l <br /> H <br /> Cg] CC/1 r:+)ect AaCress ^ n <br /> ��� 1 P l,(.S�' ?�IPUe) YC��Gi�'�� J — <br /> y yy iscripnan ai xork o e one: � <br /> O <br /> j �S <br /> '_ _ I <br /> �� I <br /> NOTE: 'NAC 296-�6-740 REOUIRES iHAT PldNS fOR ELECTRICAL MORK AT EOUCATIONAL� INSTITUTIONAL OR HEALTH GRE FACILITIES i <br /> '�„ �' BE APPROVED 8Y THE STATE OF MASHINGTON. APPLIGNTS MITH SUCH JOBS MUST SHON THE STATE APPROVEC PLANS BEFORE A <br /> CITY OF EVERETT PERMIT NILL BE ISSUE�. <br /> NOTE: 711RINC IN NON-DWFLLINGS IS REOUIRED TO BE IN METAL RACENAYS. , <br /> � � <br /> �s <br /> 1 HEREBY CERTIFY THAT I HAVE FEAD ANO EXAMINED THIS <br /> .r � APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALl <br /> I ! � PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS NPE OF , <br /> '�' WORK WILL BE COMPLEfED WI7H WHETHER SPECIFIED HEREIN OR <br /> NOT. TH�GRANTINO OF A PERMIT DOES NOT PRESUME TO GIVE I <br /> AVTHORITY TO YIOLATE OR CANCEL THE P90VISIONS OF ANY <br /> OTHEfl STATE OR LOCAL LAW REGUUTING CONSTRUCTION OH THE � I <br /> '�'+� PERFOHMANCE OF CONSTPUCTION.THAT I AM AUTHOR12ED BY TFiE ,/� <br /> AOPPLICATFONISISpMAOE ANDPE CO PLY WIT�HKTHER STATE FEE 7� ' <br /> � CONTRACTORS IAW 78.27 RCW AND 296.200 WAC. � <br /> �',� ' <br /> � <br /> X / a� ��.. �'�`��� �� <br /> -� � <br /> • '� - � �ate <br /> Signature . <br /> I <br /> I <br />