Laserfiche WebLink
� � <br /> APPLICATION FOR ELECTRICAL PERMIT <br /> CITY OF EVERET'I' <br /> BUII,DING DMSION <br /> 3200 CEDAR STREET <br /> EVERETT, WA 9E201 <br /> �� C!/YI(JYY�-t CS 259-88f0 <br /> .S a �� 3 ZG - /O�>`"� �� # �/Olo ����,�� <br /> Owner Mazl Address p� <br /> C�ty State/Zip �i�.�.�-�L�e <br /> .�ANdui�c� Cn 'ueC/ L/`�1 � � �c1�R� n��CJA� <br /> E� )i IL—l! l.CJ !a- � -' <br /> Tenant Mail Address �'Wty State/Zip . Phone <br /> zo� - 4�i3-sbc� <br /> �"� <br /> 1���'c��,wLCiu.A�M-cd,� �03� i��-��< <,J jQcrs�4. �c�ct�$L/�' aia�Tp�s.Q���� <br /> Electrical Contractor Mail Address C�ty State/Zip Phone Sate License No. <br /> -��J . o� —. C D ^-. ,�, <br /> Contract Price of Work Proposed Use of Building — <br /> � <br /> � C_,l� t=.f3.�c�(L��.e� r d�A� �y <br /> Pro�ect Address <br /> � <br /> + --7 Description of Work to Be Done: TM_ ��Ja L q�Y�Q � �-f L�� u� TAG�_ ��.,��� <br /> .S e c� ,.�.t-4`_�___��„s�'a �L� <br /> , <br /> � � ;.;i <br /> �:i <br /> =� <br /> NOTE:WAC 296-46-140 REQUIREg THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTTl'U'iTONAL OR <br /> HEALTH CARE FACII.ITIES BE APPROVED BY'Tf� STATE OF WASHINGTON. APP�C,y�g �-g SUCH JOBS <br /> MUST SHOW Tf�STATE AAPROVED PLANS BEFORE CITY OF EVERET PERIvIIT WIL,L BE ISSUED. <br /> NOTE:WII2ING IN NON-DWELLINGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I HEREBY CERT�Y THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KAJOW THE SAME TO BE TRUE <br /> AND CORRECT', qLL PROVISIONS OF LAWS AND ORDWANCES GOVERNING THIS TYPB OF WORK WII,L BE <br /> COMPLETED WITIi WHE'I'HER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br /> TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAI, LAW <br /> REGULATING CONSTRUCTION OR THE PERFORMlWCE OF CONSTRUGTION. THAT I AM AUTHORIZED BY Tf� <br /> OWNER OF THIS FROPERTY TO PERFORM Tf�Wpgl{FOR WHICH APPLICATION IS MADE AND I COMPLY WiTH <br /> Tf�STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> X �� 'Signatur p ,�� •S �i'--� Fee 3 �• Cl a <br /> Date <br /> clecaPP(J/5/9J) . <br />