Laserfiche WebLink
�"_. _ . .. _ . . .-� .. iL1u"mri`t`--__-.,�:".'�', <br /> APPLICAT��N FOR ELECTRIGAL ► �RMIT <br /> �r�,�� ���� <br /> cin oF � <br /> 2V{'f 2#� I <br /> BUILDING DEPARTME�fT <br /> 259-8810 ' ', <br /> \�A��� ,+�'�e � U-c� � >'��[u 1�V� � �ZDp �OA,`F�I-L� Q(; / I <br /> Uw,ier Ma�I Address / DI�� `��/3Z0 3��� � <br /> tY—�tP hone , <br /> ''����G �� tldress I <br /> �y � �� C\ ` ` �Cy �P �ona <br /> —>_ [� \K=CC.� C�,�-2 `Vl�a� � <br /> - E�trica lontractor Mai ddress <br /> ��� �tY �P hone icanse � I <br /> �� •�� 1 <br /> ontrac[ nce o Wo� �'�^��Q ^ yy�U� �� �-,��,� � <br /> �b� �D 1 � ("1 ropos d e c ui ]iny <br /> rP oj�cc Address <br /> "� YQa. e-� �L c�-�- ''�C7 <br /> Discription or 'Nork o Be Done: <br /> �o . ��—��1� A�vu._ S.—�-Z-�n��e �\^ -, �� �e S. o.�, o <br /> NOTE: WAC 196-46-140 REOl11RE5 THAT FLl�NS FOR ELECTRICAL WORK AT EDUCATIONAL, �NSTITUTIONAL OR HEALTH CARE FACIL!TlES <br /> �E APPROVED BY THE STATE OF WASfiIt7GTON, APPLIGHITS MITI1 SUCH J005 11U5T SfiOW THE STATE APPflOVED PLANS �EFORE A <br /> CITY OF EVERETT PERMIT WILL 0E ISSUED, <br /> NUTE: WIRING IN NON-OWELLINCS IS REOUIRED TO DE IN METAL RACEWAYS. <br /> I HEREBY CERTIFY THAT I HAVE REAO AND EXAMINED THIS <br /> APPUCATION AND KNOW THE SAME TO BE TRUE AND COAtiECT.ALL <br /> PROVISIONS O�LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORF( WILL BE COMPLETEU WITH WHETHER SPECIf-IED HEREIN CR <br /> NOT. THE GRANTING OF A PERMIT OOES NOT PFESUME TO GIVE <br /> AUTHORITY 70 VIOLAiE CR CANCEL THG PROViSIONS OF qNY <br /> OTHER SiATE OR IOCAL LAW REGUfATING CONSTFUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. THAT I AM AUTFIORIZED BY THE <br /> OWNER OF THIS PROPERTY TC1 PERFORM THE WORK FOR WHICH FEE � ��, Q(� <br /> APPLICATION IS MADE AND � COMPLY WITH THE STATE <br /> CONTRACTORS LAW 1B.27 RCW AND 296.200 WAC. <br /> —���-�--�_�e ,, S�Q �`e ) ) „ I �3 <br /> Signature —b Date <br />