Laserfiche WebLink
cm oF FVEttErr <br />BUILDINO DIVISION <br />)20(1 CEDAR STREST <br />EVEREIT, WA 98701 <br />AI'PI,ICA'PION I�OR 1�,I.I;C'fItICAI, PERh117' <br />r� <br />� <br />759•BBIO <br />j ��� f+����1(�, coNSr CL i ��:���� ���>> � o��'�_ � <br />Ownm M�il AdJrtas Cily SIaW7.ip Phone <br />Ten�nl <br />M�il Addrw <br />City Slale2ip Phone <br />i17�5 FLE�iY�C /CC /37�'�,'S� El % aft:'� 7Nl /'77 >nSiL��i�YB�'i� I <br />ElaMul Comnclor M�il AdJreu Cily Suta/Zip Phone SWe Lianse No. <br />ConlnU Pnce o( Work Pioposed Uu o( UuildinQ <br />�� /� �� � sr ss ��c r �_r r� 9 I <br />Project Addrev <br />nu<d�ro� or wo�t �o e� no��: /PC4��7 / /�l 1� i �. �/� / � Q /� � �/�i/1) Y � L � <br />NOTE: WAC 276d6-I40 REQUIRF.S TFIAT PLANS FOR ELLCfRICAI. WORK AT F.DUGTIONAL, INSiITUTIONAL OL I <br />NEALTH GRE FACII.ITfES B9 APPROVF.D BY THL• SfATE OF WASHINGTON. APPLICANTS WITH SUC}I IOF.S <br />MUST SkinW 77{L STATE MPROVED PLANS BEPORE CITY OF EVERET PERMIT WILL PE ISSUEG. <br />NOTE: WiklNr �N NON�DWLI.l.IN05 IS REQUIRf:D TO U[ IN MF.TALLIc RACF.WAYS (Mc AND Ac, ARS CADLGS, <br />NOT RACEWAYS). <br />1 HEREBY CERTIFY THAT 1 HAVE READ AND G%AMINf:D THIS APPI.ICATION ANU KNOW THE SAMf TO FIG TRUG <br />AND CORRE(T. ALL PROVISIONS OF LAWS AND ORDINANCGS GOVERNING TIIIS TYP[ oP �.ORK WILI. DE <br />COMPLF:THD N7TH WHGTHGR SPECIRF:D HER[IN OR NOT. TNE ORANTINn OF A PGRMIT DOfS NOT PRFSUME <br />TO GfVE AUTIIORITY TO VIOLATE OR CANCEI. THF FROVISIONS OF ANY OTIIER STATE OR LOCAI. LAW <br />REOULATING CONS7'RUCI'ION OR THE PERFORMANCE OF CONSTRVCTION. THpT I AM AUTHpRIZ[fl BY THE <br />OWNF.R OP TNIS PROPf.RTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADF AND I COMPLY WITH <br />THH STATE CONTRA(TORS LAW Il.27 RCW AND 29h.2no wAC. <br />SIQMIUR <br />V�It <br />dmPP O�SNJ1 <br />