Laserfiche WebLink
APPLICATION FOR�LECTRICAL PERMIT <br /> CIiY OF EVEREiT � <br /> BUILDM6 DIVISION <br /> .1200 CEDAR S7REET <br /> EVEREIT,WA 9820I 259�8810 <br /> i[�3- i� cQ z 5 .<�� •t I <br /> Owoer M�il Addrcsa City SUWZip Phaee <br /> -Tmml M�il Addrcas Cily SIaldZip Phone <br /> d37s-130i�A�Gn.�!'�I01 <br /> � 5yc�i.�S.iNC, [�e;cccv«c�� 9P[nS" .���•8P1-��31 <br /> Elatriul Contnctor M�il AJdreu Cily Sule/7Jp Phoue SWe Limnu No. <br /> Contnct Price of Wark Pmposed Uaa of DuilJing <br /> S11r�6 A S Af�i�E <br /> Pmjat AdAress <br /> Dexriplion of Work lo Be Done: <br /> NOTE:WAC 296-46-140 REQUIRLS THAT PLANS FOR ELECfRICA1 WORK AT EDUCATTONAL,INSTIN170NAL OR <br /> HEALTFI CARE FACILITILS OE APPROVED BY TNE SfATE OF WASHINGTON. MPLICANTS WITH SUCH lOBS <br /> MUST SHOW THE STATG APPROVL•D PLANS BEFOIIL•CRY OF EVE•RET PGRMIT WILL�G ISSUED. <br /> NOTE:WIRINO IN NON•DWELLINGS IS REQUIRED TO BE IN METALLIC RACEWAYS(MC AND AC, ARL CMLES, <br /> NOT MCEWAYS). <br /> 1 H[RGBY CERTIFY THAT f I1AVE READ AND GXA�IINGD THIS APPLICATION AND KNOW THE SAME TO BE TRUE <br /> AND CORRECI'. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WOAK \VILL DE <br /> COMPLGTED W177i WHETHER SPECIFIGD HERGIN OR NOT, 7NE�RAMING OF A PCRMR DOES NOT PRES[1ME <br /> TO OfVE AU77IOR1TY TO VIOLATE OR CANCGL THE PROVISIONS OF ANY OTHCR STATE OR LOCAL LAW <br /> REGULATINO CONSTRUC170N OR TH6 PERFORMANCE OF CONSTRUC170N. THAT 1 AM AU7'fIORIZL•D BY THG <br /> OWNGR OF THIS PROPERTY TO P6RFORM THE WORK FOR WHICH APPWCA7TON IS idADG AND 1 COMFLY WIT}I <br /> THE STATE CONTRACTOAS LAW I8.27 RCW AND 296100 WAf,. <br /> X ��3�,VV <br /> _ r« <br /> Sirn�lure D�te <br /> �ri d.app p/SN7 <br />� <br />