Laserfiche WebLink
i <br /> APPLICAT�JN FOR ELECTRICAL �ERMIT <br /> ciTv oF �� <br /> LiU1lDINC DIVISION <br /> 3200 CFDAR STREEf <br /> � EVEREfT� MA 98201 <br /> 259-8810 <br /> �� NPN54.r1 3g2� (�o�,��,� kv� W��- Wa• 98a.a� �sz-z,2� <br /> ner Mai ddress ity tai.e tp . hone- <br /> �`(�R5 ��Pi `-�a�M (0�4(0 �i0. 2�fµ pV�. I�N-T Wp S72 080� <br /> ienant ai ddress ity tate Z�p hone <br /> '(��1 �p,fc�.�tf,Q. �RovP i�� P,o. ga,c 263 �,Joofl�dviu.� WA qPa72 �} pRf�tZGy IION <br /> F��—{ ai ress t, ty�5t� p ore�Zy,�tate icense os G <br /> �f�OD �� . <br /> ontract r ce o or ropose se o ut d ng� <br /> �',000 S/� iTr! <br /> 'ro,7ett ddress . <br /> Diseription of Work To Be-D�ne: 1N�Pw ��P � QifP�ib �ZO+ZOQ�/ �j�C�/�GE PeVE. �L4� <br /> �A �jP}'}�,5� � Z08V �.VIGFi Q{�ptSTP�s <br /> NOTE: KAC 296-46-140 REOUIRES THAT PLANS FOR ELECTRIGL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br /> BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS NITH SUCH JOBS MUST SHOW THE STATE APPROVED PLANS BEFORE A <br /> _CITY OF EVFRETT PERMIT NILL BE ISSUED. . <br /> NOTc': WIRING IN NON-DWELLINCS' IS P,EOUIRED TO BE IN CONDUIT. <br /> I HEREBY CERTIFY THAT I HAVE READ AND' EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PHOVISIONS OP UWS AND ORDINANCES GOVEflNING THIS TYPE OF <br /> � WORK WILL BE COMPLETED WITH WHETHER SPECIFlED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOUTE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL UW REGULATING CONSTRUCTION OR THE <br /> PERFOFMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY iHE <br /> OWNER OF THIS PROPERTY TO PEAFORM THE WORK FOR WHICN � � ,5� <br /> APPLICATION IS MADE ANO I COMPLY WITH THE STATE.. <br /> CON�IAW 18.27 RCW� D 296200 WAG. <br /> X ����/9� <br /> Signature Oate. <br />