Laserfiche WebLink
APPLICHTI0�1 FOR ELECTRICH� PERMIT <br /> �� � � � �.� � �� <br /> .._ nr � _ , � .; . <br /> � � �., . � . � _, � <br /> � <br /> L�� eu � <br /> evere#t AUG 2"- l°93 -� <br /> ' BUILDIMG DEPARTti1ENT ..':........................... <br /> 259•8810 CITY OF EVERETT <br /> Pubiic Works Depi. <br /> O�eoYL .,�1�.I,l. `�5�z (o� �v_S� Et�n� �``�Zo8 355 � 351r�I <br /> � r a d ress [Z' y�—� hone <br /> 1)Qm1Q� Q�D <_i�'X�Jl,� <br /> enant a d ress ty p one <br /> ���'Ll.�I� ►m c � ► �v � �I c� �, 1�.r rc K,�Cv�C� �3.yy.`� <br /> ' eetr ca ontractor a ress l ty p one cense <br /> .t� �oo . oO ��N�.��io�J� <br /> ontract r ce o or ropose I� s�c oTl�u � ng <br /> -1�c�rn-vz av �m� <br /> ro ect 3ress <br /> scr pt on o or o e one: . <br /> \ <br /> � - NOTE: MAC 296-46-140 REOUIRES THAT PLANS FOR ELECTRICAL XORK AT EUUCATIONAI.� INSTITUTIONAL OR HEAI.TN CARE FACILITIES <br /> . BE APPROVED BY THE STATE OF MASHINCTON. APPLICANTS XITH SUCH JOBS MUST SHOX THE STATE APPROVED PLANS BEFORE A <br /> � CITY OF EVERETT PERMIT WILL BE ISSUED. <br /> - ; NOTE: KIRINC IN NON-DNELLINCS IS REOUIRED TO BE IN METAL RACEWAYS. <br /> � I HEFEBY CERTIFY THAT 1 HAVE REAU AND EXAMINED THIS <br /> : , � APPLICATION AND KNOW THE SAME TO BE TRUE AND COHRECT.ALL � l� C u <br /> ��� � PROVISIONS OF U1WS AND ORDINANCES GOVERNING tH15 TYPE OF � U <br /> i � WOpK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> � NOT. THE GRANTIN(3 OF A PERMIT DOES NOi PRESUME TO 61VE <br /> i AUTHOFiITY TO VIOIATE OR CANCEL TNE PROVISIONS OF ANY <br /> � OTHEP STATE OR LOCAL LAW REGUUTIN(i CONSTiIUCTION OR iHE <br /> , � PERFqRMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE � � <br /> ' OWNER OF THIS PROPERTY TO PERFORM THE WORK POR WHICH FEE <br /> ' APPLICATION IS MADE AND 1 COMPLY WITH THE STATE — <br /> � ' CONTRACTORS LAW 18.27 RCW AND 296200 WAC. <br /> X `��f�/7� ���,O1�2� �l�/9 3 <br /> , � Signaturo Date <br />