Laserfiche WebLink
.,�.-� <br /> � <br /> �c�� APPLICATION FOR �LECTRICAI, P�RMI7' <br /> t*1 y <br /> C�r�-i C[TY OF EVGRETT <br /> a'�y ➢UILDING DIVISION <br /> y �N 3200 CEDAR STREET <br /> .e c� EVERE•TT, WA 98201 <br /> O� H o� 259-88f0 <br /> �i� � � I <br /> H � i,� � � , .. � . , .. . _.. , <br /> � o� ' ��: 1 ' t'�'� � '/, . . .. , � . : ��. � . <br /> H d Mail Address <br /> � �� Owoer--- -- -- Ciry State/ZiP Phone <br /> �V � <br /> 9 H� Tenant Mail Addras Ciry Slate/Zip � Phone <br /> G� <br /> ri H <br /> N <br /> OCy � � <br /> �g �� Electrical Contnctor Mail Addrss City StalrZip Fhooe Slate License No. ' <br /> `� H N <br /> HOpi � <br /> Contract Prire of Work Proposul Use of Duilding <br /> ���/ ' � � � ;7� !. <br /> ;f'��n�., � �' I <br /> Pro�ect Address <br /> � � � <br /> Descriplion o(Work lo Be Done: � T ��� �� (f� i r �X����:! , , �i-, <br /> I�� ' � <br /> __ <br /> i" —i � <br /> _ _ <br /> �. � <br /> I f� � � NOTE:WAC 29G-46-140 RLQUiRGS T{IKP PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITU'I70NAL OR <br />'� � � HEALTI{ CpRE FACILiTIES AE APFROVLll �Y TliE STA'Iii OF WASHINGTON. APPLICAN7'S WITH SUCH IOBS �� <br />�� MUST SHOW THE STATG APPROVGU PI.ANS QE�ORE C17'Y OF GVIiRGT PL•RMIT WILL AE ISSUE•D. � �� � <br /> I ��� NOT'C•:WIRiNG iN NON-DWrLLINGS 1S RL•QUIRGU TO I3E IN METALLIC RAC6WA}'S (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> � i i I HGREDY CERTIPY THAT I HAVE RF:AD AND H7CAMINGD TT{iS APPLICATION AND KNOW 7'FiL• SAME TO I3E TRUE <br /> AND CORRECI'. ALL PROVISIONS OF LAWS AND ORDINANCHS GOVERNINC THIS TYFE OF WORK WP,_L DE <br /> COMFLE'CE•D WTTH WI{ETH[R SPC_CIFIED I(GRGIN OR NOT. THE GRANTING OF A PGRMIT DOES NOT PRcSUMH <br /> TO GNG AUTN.ORITY TO V1pLATG OR CANCGL THE PROVISIONS OF ANY OTHER STATG OR LOCAL LAW <br /> I � � F.EGULATING CONSTRUCiION OR TIIE PGRFORMANCG OP CONSTRUCTION. THAT I AM AUTHORIZED [3Y THE <br /> ' 014NER OF THIS PROp6RTY TO PGRFORAf TftE WORK FOR WIIICII APFLICATION IS MADG AND I COMPLY 1VITH <br /> 7'f{G STATG CON7RACI'ORS LAW 18.27 RCW AND 296.200 WAC, <br /> .+ <br /> r / / . <br /> I � <br /> X ���__ �����'� � l ��, �� '�,-- � ,_ l. � ( I.� ,_ si ;� �; F� 2�— <br /> Signature ' Dalc ! <br /> ��«�rr Pisro�� <br />