Laserfiche WebLink
p.. p � . <br /> a►1'PLICATION FOR ELECTRICAL PER11'IIT <br /> CITY OF EVERETT <br /> BUILDING DIVISION <br /> 3200 CED:;�STREET <br /> EVERE7 i, WA 98201 <br /> w,�s �,�. a��� �v. �Aww,_ �� �.c�� . , <br /> Owner Mail Address City State/Zip � Phone <br /> Tenant Mail Address City State/Zip Phone <br /> cXlCf �.,�� �S��o� �.., rt�L.+�,�<Q Li,+c�-ww.<.�C.. ,��,�z=.l�G�saBy <br /> Eleclrical Contrector Mail AdJress City SWIe/Zip hone Stele License No. <br /> � � � <br /> Contract Price of Worl Proposzcl Use of Huilding <br /> aia � ,u. ��w <br /> Project Address <br /> Description of Work to Be Done: /[L[,l/ �� ¢ih"� ����l.[f.�.l.L� � �ti"'"'�� -� <br /> �� ///�.G4C� .�Y/XiGf4-lG��L+ �GK.Y <br /> NOTE:WAC 296-4G-140 REQ[l1RES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br /> HEALTH CARE FACILTTIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOIIS <br /> MUST SHOW THE STATE APPROVED PLANS BEFORE CITY OF EVERET PERMIT WILL BE fSSUED. <br /> NOTE:WIRING IN NON-DWELLTNGS IS REQUIRED TO BE IN METALLIC RACFWAYS (MC A1JD AC, ARL CAI3LES, <br /> NOT RACF.WAYS). <br /> I HEREBY CERTIFY TIIAT 1 HAVE READ AND FXAMINED TFiIS APPLICATION AND KNOW THE SAME TO BE TRUE <br /> AND CORFECT. ALL PROVISlONS OF LAWS AND ORDINANCES C,O1'GRNING THIS TYPE OF WORK WILL BE <br /> COMPLETED WITH WHETHLR SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIi' DOES NOT PRESUME <br /> TO G1VE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br /> REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. 7'HAT 1 AM At)THORIZED BY THE <br /> OWNER OF 7'HIS PROPFR7'Y TO PGR�ORM TNG WORK POR WHICH APPLICA'1'ION 1S D9ADG AND 1 COM1IPLY WITH <br /> THE STATE CONTRACTORS LAW 18.27 RCW AND 29G.200 WAC. <br /> X C��t�r�c� �`� � 3 ���—y 3 F�=� <br /> Signaluro � Da�e <br /> 3���a <br /> �m��rr c3is�9n) <br />