Laserfiche WebLink
, APPLI`ATION FOR ELEC:TRI�.�L PERMIT <br /> everett <br /> BUILDING DEPARTMENT � <br /> 259-8810 <br /> I�;��- aF�ver�� �� f�x53R fi�� �1820� 259-37 ��l <br /> er reia A ty <br /> �,�, �� P hone <br /> � '� �Rt�Sot� � �i�a-v��l�J»/a WA `� -- <br /> ` f ross � �— T <br /> � V �a � t�-- � rnonf � <br /> � •L�lAiJS�� Can�3712 c�f.�n+-�E .@'S AG3o�E a1 `I-�[i <br /> El�r ca ntraoto� ross ty P 'j�D7� . om <br /> cense <br /> D2t7/wFisr EcECTR. /363z NE I?�r' < . !.l�a,�.;�,�� yp�o�a� No2r�E��o <br /> wn racc rnc� of Ilork ropose se o iin�ny i-rij� <br /> � ' /Vd�+� �Ura.rr,, aSfv O�{' lr <br /> Pro ect Addrost �G^�-�m� � �� /C 4�%r- <br /> IN � <br /> �H-rP. �NsrR, OFFicc �A�c.e,Z /.�X �C� ' /c.-� o{ �rxic�f �er / <br /> acr pt on o or o na ? <br /> � J1YLCKa Dll�r/t.��...G �s42 54'vlcp !�'�' �OO f✓t*+�J TrorK COscSf/� <br /> ' Trtz;./.cr 7� �GLD i-isz�icl/-� /dale �GCD G�:� irisfaL� o% 36' <br /> a�G'arrv�.� � � �u� kFiu2 �,cwscw � G„ • . <br /> /K� <br /> _ tuef�.. 6Q-s,e. _ n�,K sw.�� _ �oK.�� a� wL�"��.�.a �t /.�/� <br /> _ . <br /> NOTE: MAC 296-46-1�0 REQUIRES TlMT PWIS FOR ELECiRICAL MORK AT EDUCA7,�NAL� INSTITUTIONAL pR FiEA�TH GRE FACILITIE: <br /> BE APPROVE� BY THE STATE OF MASH�NCTON. APPLICANTS MITH SUCH JO&S MUST 5li0M THE STATE APpROVED PLANS BEFORE � <br /> CITY OF EVERETT PERMIT NILL BE ISSUED, . <br /> NCTf_: MIRINC IN NON-DM'ELLINCS IS REpUIRED TO BE IN METAL RACEMAYS. <br /> I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS <br /> MPUCATION AND KNOW THE SAME TO BE TAUE AND CARRECT.AlL <br /> PROVISIONS Of UWS AND C RDINANCES GOVERNING THI5 TYPE OF <br /> WORK WILL:':COMPLETED WITH WHET}IER SPECIFIED HEREIN OR � <br /> NO:.THE ORANTIN� OF A PERM�7 OOES NOT PRESUME TO dIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL U1N'qE6UUTINf3 CONSTRUCTON OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM A�JTHORIZED BY THE �LTJ <br /> ONMER OF THIS PROPERTY TO PERFORM THE �VORK FOR NhiICH FEE <br /> APPLICATION �IS MAOE AND I COMPLY '..ITH THE STATE <br /> CONTRACTORS UW 7 e.27 RCW.,ND 298200 WAC. <br /> X �` „"""-.��`�-�� 7///`/'o�- <br /> Sf�nature / ,7�� ate <br /> �/�lE �, /`�Q� <br /> /btA�.lsonJ c r,�r�S�, � E,U��cg <br /> P° �x ���� s�z�-�,�, �� 9 a���- ti�� <br /> � �� <br />