Laserfiche WebLink
WI(� (c�5 �io <br />APPLICATIOP! FOR ELECTRI�AL PERMIT <br />..::� <br />;IN CF <br />ev�rett <br />� BUILDIPlG DEPA;iTMENT <br />259•8810 <br />1 ,, <br />����.��� q i�� �+� <br />nner Na. Addres'�s <br />'� � <br />�' � PS UIn-l� � � n'1G t l b3oc 5la�h� <br />' ec[r ca Contractor ai res� s <br />;� <br />P <br />P <br />�u� R�sa o� /3u�r � Z� <br />ontract r ca o or` raposc� sc a u� n9 <br />a�6o3u I �23• <br />HOTE: WAC 296-46-1h0 REOUIRES THAT PLANS FOR EIECTRICAL W4flK AT EDUCATI�NAL� INSTITUTIONAL OR HEALTfI CARE FACILITIES <br />. BE A'PROVED BY TIIE STATE OF WASFIINGTON. APPIICANTS WITfI SUCiI J005 fIUST SIIOW TIIE STATE APPROVED PLANS BEFONE A <br />CITY OF EVENETT PERHIT WILL BE ISSUED. � <br />: tIOTE: WIRING IH NON-DWELLINCS IS REpUIRED TO OF. IN PIETAL RACEWAYS. <br />I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS <br />APPLICATION AND KNOW THE SAM[ TO BE TRUE AND COIIRECT. ALL <br />PROVISIONS OF LAWS AND OROINANCES GOVERPIING THIS 7YPE OF <br />WORK WILL BE COMPLETED WITH WIiETHER SPECII=1E-D HFR[IN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PfiESUME TO GIVE <br />AUTHORITY TO VIOLATE OA CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTFlUCTION OR THE <br />PEHFORMANCE OF CONSTRUCTION. THl.T I AM AUTI�IOf112ED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WIThI THE STATE <br />CONTRACTOFS LAW 1827 flCW AN� 296200 WAC. <br />X `�I�.� �� 3 � I � .� � �% <br />Signature Date <br />D <br />FEE �`7 O <br />, <br />