Laserfiche WebLink
r1PPLICATION FOR �L�CTRICAL P�RMIT <br /> CITY OF EVERETT <br /> BUILDING DIVISION <br /> 32(Kl CEDAR STREET <br /> EVERETT. WA 98201 <br /> 3zss-ea�o <br /> r��Z� <br /> ' ` oRc�v �-185-q /jc-P��uC DR �u��=t�- �Uc� ;X���9 <br /> �tt Mail Address City State/Zip Phoue <br /> �� <br /> Tenant - � Mail Address City Stale/Zip P6one <br /> �.c�m u� <br /> Elcetrical Contnctor Mail Address City State/Zip Phone State License No. <br /> SFR <br /> Controct Price of Work Froposed Use of Building <br /> y�,--9 ,�� v�,uE .� <br /> Project Address . <br /> Description of Work to Be Done: )P('V i GP v�N9,Q• �O ,��A/17,(J ' �} �.-fCy^ <br /> ��ui"' Gt f'c,v��s <br /> NOTE:WAC 296�36-140 RF.QUIRES THAT PLANS FOR ELECfRICAL WORK AT EDUCAITONAL, INSTITUTlONAL OR <br /> HEALTH CARE FACILITI�S BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS W1TH SUCH JOBS <br /> MUST SHOW THE STATE APPROVED PLANS BEFORE CITY OF EVERET PERMIT WILL HE ISSUED. <br /> NOTE:WIRING IN NON-DWELLiNGS IS RFQUIREU TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CAHLES, <br /> NOT RACEWAYS). <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE <br /> AND CORREC'f. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNiNG THIS TYPE OF WORK WILL BE <br /> COMPLETED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTlNG OF A PERMIT DUES NOT PRESUME <br /> TO GNE AUTHORITY TO VIOLA'I'E OR CANCEI_ '!'9E PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br /> REGULA'I'ING CONSTRUCTION OR THE YLRFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH <br /> THE STATE CONTRAC'I'ORS LAW 18.27 RCW AND 296.200 WAC. <br /> X � � � <br /> 1.�. i/-S-�3 F� .3� — <br /> Signaturo Date <br /> cl<cnpp(7/5197) <br />