Laserfiche WebLink
� <br /> : <br /> yc� �►pPLiCATI(..�� FUR ELECTRi�AL F .Rftfdo`r <br /> �� <br /> 9H <br /> I ��H � <br /> 9 y� CITY OF <br /> y �H evQr�'t�t , s ` ��,. <br />, "� y� 3UILDING DEPAFiTMENT <br />' ,� H� 259-8810 <br /> V1 H <br />` � o�3 � - <br /> y C7 Y F `k �i tl t �i� (1�I� cq��, j �__—�-, ; ;_� .. <br /> �>�i : -L�.1 � I/) 1 /_• . "-j 'J �'�" � �)` �L/7h'C ( c: hone � <br /> H �'�JO Own_r � <br /> Hai� Addreu �Y �a <br /> ,n� C] <br /> H C � hano <br /> 9 H� �nanC lai ddress �ty P <br /> � H y '�/i 1/,�.L'�� �-� � ����1�' C�)� � honc icanse q <br /> I �Cttf� �.�nCrac[o�'�'t�'tldross ��Y P — — �7_ <br /> O t7C�i7 /� C'� '" 1G ,� lb:� �i- .rt)C6 <br />� q q f���I� ` roposed sc o ui ding <br /> S CrJt' �ontract r�ce a wor . <br /> zH(�/� ��/ � i '-�r�/_L� ',� - !F` :' - ..- /'.;--" <br /> H O Cn <br /> ra)^ct Address <br /> ���� �f)D�1; 7 7 n ` ii /' %C� <br /> < /i! <br /> iscriptian ot lYork o fle ur.e: <br /> '�� <br /> �' <br /> ��. <br /> a' <br /> �� IlOTE: WAC 296-46-740 REOUIRES THAT PI.At15 FOR ELECTRICAL WORK AT EGUCATIOt�AL, INSTITUfIOtIAL OR HEALTH CARE FAC <br /> CITYPOFOEVERETTTPERMITTWI�LL 9ESISSl1EDN. APPLICANTS N�TH SUCH JOO5 HUST SfI:1N iHE STATE hPPROVED PL1t75 �EFORE A <br /> c�. .�,. ��p7E; 'dIRI11G Itl NON-OWELLINCS IS REO��rtED TO �E Itl I1ETAL RACE'dAYS• <br /> ��'�� I HEREBY CERTIFY THAT I HAVE RcAD AND EXAtdINED THIS <br /> APPUCATIOt!AND KNOW THE SA�dE TO B[TRUE AND CORPECL ALL <br /> Q, PFOVISIONS Of LAWS AYD ORDINANC[5 GOVERNING THIS TYPE OF <br /> � � � NOT. THE GFANTOING OF A EIRMIT DOES NOT PR'ESUME TO GI JE <br /> AUTHOflITY TO VIOI.ATE Ofi CANCEL THC- PFOVISIONS OF ANY <br /> OTHER STATE OR LGC/+L LAW REGUTATWG CCNSTRUGTION OR THE _ , �� �� <br /> p PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY ThIE %., ���-- <br /> pyu� �ApPLICAOTIONISISflMADE ANOPE�CO AP Y EWITOHKT ER STATE �EE � ) <br /> CONTRACTORS LAW 1627 RCW AND 29G.200 WAC. <br /> ' ") • � �. � �: i- i <br /> X`�' - �� ,� � _ <br /> �=,��' ,��=:; _-- <br /> Date <br /> Si9n uro <br /> � <br /> '/ j <br /> �i � i I <br /> . /� �J1� // � <br /> 1 <br /> � <br /> � <br />