Laserfiche WebLink
A1'PLICATION I�OR I'sLECTRICAL PTRAfI1' � <br /> CITY OF EVERETT <br /> BUILDiNG DIVISION <br /> 3200 CEDAR STREET <br /> EVERETT, WA 98201 <br /> 259-88f0 <br /> 9sv-ss�� <br /> Cn„w.,., �.ra f+ ���.. /� �05' yo�e0v� w � - � �y yYa:l� <br /> Owner Mail A dress City MState/Zip Phone <br /> � � �A CAdy /�� �' .�t � <br /> Teoant Mail Address Ciry State/Zip Phone <br /> Y�''`'� t.� �s�',L � <br /> �1AaKc 61.U[�/C TAI�AYM yy3•� 7Y�i, ti � �653-���c� rAac�ar,��ac.Q <br /> Elcetrical Contractor Mail Address City State/Zip P}ooe State License No. <br /> <fls '= �c..a.Q.:�� <br /> Contrnct Price of Work Proposed Use of Building <br /> G ��o Q !��/i. �� ��" <br /> Project Address <br /> Description of Work to IIe Dona ��/f S�i., .� �,,,,d�,,,� <br /> NOTE:WAC 296-06-140 REQUIRES 7'HAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITU770NAL OR <br /> HEALTH CARE FACILITIES BE AP?ROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH ]OBS <br /> MUST SHOW THE STA'I'E APPROVE�� PLANS BEFORE CITY OF EVERET PERMIT WILL BE ISSUED. <br /> NOTE:WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE <br /> AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OP WORK WILL BE <br /> COMPLE'CED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRAN'fING OF A PERMIT DOES NOT PRESUME <br /> TO GIVE AUTHORITY 7'O VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br /> REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WO.2K FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH <br /> THE STA7'E CONTRACTORS LAW 16.27 RCW AND 296.200 WAC. �y <br /> �3h <br /> X <br /> Gu�-P��-,..-, � i � �/ F�,�� - <br /> Signaturc le <br /> elecn�p Q/5/9? <br />