Laserfiche WebLink
_ . :---- i <br /> APPLICATIuN FOR ELE(;TRICAL rtRMIT <br /> , <br /> yxdH <br /> t+7�y rp,itrorQ p}} . <br /> C•�H l.Vl.Cl..11 <br /> a yx v� BUILDING DEPARTMENT , <br /> H y; 259-8810 .. <br /> �, z H <br /> �+; C'1 <br /> H�1 <br /> `QO H"�� <br /> y �C S/if�I:' O��J -��O (.C/;�l� S_ S� `�/U G��EJi- I�� _;�G;r-'/;'- .G '� <br /> � zp� �ncr a+T7deress �Ity � hone �. � <br /> O H 7 �-� � ', ' <br /> � �g . Tenant �—�+ d res�-�xa 5� t� Z�V honc � <br /> 4�• O � 1 <br /> r..� q 7'� /7ri l�/rc{�,�- . �9oa3 ;=,�l� un� w` ✓ w. �<S'/3i 5�Z-S�o� . 7.;Irx�k?6/OZ , <br /> 2 y 3 ectr w ontractor ai ress [y �p hone cense � <br /> � [4 <br /> H y ya��,, P�-- , <br /> y ontract nce o Wor rcpose 5e o u tng } <br /> gt�v' S�/� - wf5f D l. F/,�r-",PE"f- ' ! <br /> � �t. Uro�ect ddress � <br /> zHv�i /[,f��/�/V ,�"P$. -26bl�/�J�' .Sc' ` [!/c P <br /> y �N isG' crip[ion at Wor o e ane: 'i <br /> t <br /> r , <br /> i <br /> � i <br /> w 1 i <br /> � � ; <br /> NOtE: WAC 295-46-140 REOUIRES THAT PLANS �OR ELECTRICAL WORK AT EDUCATIONAL� INSTIiUTIONAL OR HEALTH CARE FACIU TIES ' <br /> w � BE APPflOVED BY THE STATE OF MASIIINGTON. APPU CANTS XITH SUCH J005 MUS7 SHOW THE STATE APPRO�ED PLANS BEFORE A � <br /> � � CITY OF EVE;tETT PERMIT WILL BE ISSUED. , j <br /> � w HOTE: MINING IN NON-OWELUf7G5 IS NEOUIREO TO �E IN ItETAL RACENAYS. I <br /> � <br /> I <br /> w � I <br /> I HEREDV CERTIFV THAT I HAVE READ AND E%AMINED TNIS '� ' <br /> '� �. APPIICATION AND KNOYJ THE SAME TO BE iRUE AND CORRECT.ALL <br /> r, I PROVISIONS OF LAWS�N�ORDINANCES GOVERNING THIS TYPE OF <br /> WORK W14.L BE COMPLETED WITH WFIETHER SP[CIFIED HEPE�N OR <br /> NOT. THE GRANTING OF A PERMII DOES NOT PR[SUME TO GIVE . <br /> AUTFIORITV TO VIOLATE OFi CANCEL THE PROVIS�ONS OF ANY <br /> �� � OTHER STATE O(i LOCAL LAW REGULATING CON5IRUCTION OR THE <br /> � PERPOf71dANCE OF CONSTRUCTION.THAT I�M AUTHORIZED BY THE . <br /> OWNER OP fHIS PROPERTV TO PERFORM THE WORK FOR WHICH FEE � �.S <br /> APPLICATION IS MADE AND I COMPLV WIiH TH[ SiATE <br /> ' CONTRACTORS LAW 1827 RCW AN�29G200 WAC. , . �. <br /> � � <br /> ����,� �1.�; �.1��:,/��_ �5� � <br /> Signd�re <br /> n.,tr �5'/D ' <br /> !F <br /> � � <br />