Laserfiche WebLink
APPLICATI _ N FOR ELECTRICA!. . �RMIT <br /> ��� <br /> arv oF <br /> evere�� � 21 <br /> BUILDING DEPARTMENT <br /> 259-8810 <br /> �� bM 5 s2ya �„cE /�v��, Wi� �lo� 3�- 37"70 <br /> wner Mail Address ity ip one <br /> enant ai ddress City cip hone <br /> "�OIKKA �Ir-cr�cc �0 t`�x�'f24� � NNuJoocl S� 3l ?76e�5 IoYKK l4oDR <br /> � ectrica (.ontractor Mail Address �� <br /> 75' ,n�c, �tb. � � <br /> � o ract rice o� Wor roposed Use or ui ding <br /> 73/ yi� <br /> ro�ect Ad�ress <br /> �v�,�� uFiN , ,�- <br /> Discription of Nork �o Be one: <br /> NOTE: WAC 296-46-140 REpU1RES THAT PLANS FOR ELECTRICAL WORK AT E�UCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br /> BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE APPROVED PL1N5 BEFORE A <br /> CITY OF EVERETT PERMIT WILL BE ISSUED. <br /> NOTE: 'flIRING IN NON-DWELLINCS IS REOUIRED TO 9E IN PIETAL RACEWAYS. ' <br /> I HEREBY CERTIFY THAT I HAVE FEP.D AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND COFflECT.ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF i <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERidIT DOES NOT PRESUME TO GIVE I <br /> AUTHOflITY TO VIOIATE OR CANCEL THE PROVISIONS OF ANY I <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE �b � <br /> PERFOFMANCE OF CONSTflUCTION.THAT I AM AUTHORIZED SY THE �C ,��„ I <br /> OWNER OF THIS PROPERTY TO PERFOFiM THE WORK FOR WHICH FEE ) <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS U1W 1B.27 fiCW AND 296.200 WAC. <br /> � /// �1�i1+�'hJ ? �-'�'� <br /> Signature Date <br /> / <br /> ya� I <br /> �� . <br /> I <br /> _ _ <br /> �,�� <br /> ..�`. . . - � i::�''�A�� �p. <br />���'r�+0�"�vf� ' �. �:tiF'N'.. . �� ':�.~Nh'"�r..._.",.'a.'"- . w..�`' _' ..� l _�.__ ... - ' . . ,. . ,,.,� .«_. �' . .,,a <br />