Laserfiche WebLink
APPLICATIOPI FaR ELECTRICAL PERMIT <br />., <br />;in cF <br />everet�t <br />' BUILDIMG DEPARTMENT <br />259•8810 <br />��. <br />f :; , <br />�I�I,UP�D �°NANDEz.... `111 <br />wner ^Itai I ddre.s <br />����on�� <br />MAR 16 �994 <br />CITY OF EVERETT. <br />Public Works Dept. <br />yn i�f. S� <br />3 � 7 — O(o �-� � <br />i, !.. , � � � �Q i� <br />nnant a d ress � ty p �one �23_yy5y <br /><���„��. ,n�r Il(o�� S�-A-,-E(L /�U6 IJG— ��I�KCt'1��R��98Q3Y �s..'^�rt. ���`10� <br />39 5� — (e„fi.� �� <br />ontract r�cc o� or roposci .c o u i n9 <br />SA VYI� <br />� ro ect Address <br />scr pt on o 19or o e one: � � <br />�ONVEQS�ur� �12oM ELEc-�-2ic � G S �'ltR�� <br />NO1E: WAC 296-46-140 REpUIRES TFIAT PLAtJS FOR ELECTRICAL WORK AT EDUCATIONAL, IIISTIiUTIONAL OR fiEALThI CARE FACILITIES <br />CITYPOF�EVERETTiPER11TTWILL BESNSSUEDN, APPLICANTS WIT11 SUCII JU�S MUST SI10W TfiE STAtE APPROVED PLANS BEFORE A <br />IIOTE: WIRINC IN NON-DWELLINCS IS REOUIRED TO OF IN METAL RACEWAYS. <br />1 HEREBY CERTIFY THAT I HAVF READ AND E%AMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PflOVISIONS OF LAWS AND ORDINANCES GOVERPIING THIS 1VPF OF <br />NOT. TIfE GRAN NG OF A PERMIT DOE.S NOT PFESUME OIGIVE <br />AUTHORITY TO VIOLATE OFi CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAI LAW AEGIJl1�TING CONSTFlUCTION OR THE <br />PERFOFMANCE OF CONSTPUCTION. THAT I �M AUTIIORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WIiICH <br />qppLICATION IS MADE AND 1 COMPLY WI711 THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />x yn.������ r.r � - ��iY 19y <br />Signature � Date <br />O <br />I`EE �� O <br />0 <br />. <br />