Laserfiche WebLink
APPLICATION FOR �LECTRICAL P�RMIT _ <br /> CiT']' OF EVERETT <br /> SUILDTNG DNISION <br /> 3200 CEDAR STREET <br /> EVERET'f,WA 98201 259•8810 • <br /> Owner Mail Address City StatdZip P6one <br /> Teoant � � � � Mail Address City SlalelZip � Phouo <br /> F.!f/i�U� �/r����-, c� �.5.3 4 4!a�,u st. fd�ro,�as u14. 17�3773 <br /> Elatrical Contractor Mail Address City Slate'�ip P6one Stnte Liceose No. <br /> Contract Price of Work Proposed Use of Building <br /> /�O �310 <br /> Project Address � <br /> Description of Work to Be Done: <br /> NOTE:WAC 296-46-140 REQURtES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITU'1'IONAL OR <br /> HEALTH CARE FACILITIES HE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS <br /> MUST SHOW Tf�STATE APPROVED PLANS BEFORE CI1'Y OF EVERET PERMiT WILL HE ISSUED. <br /> NOTE:WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN METALLiC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I HEREBY CERTIFY 7'HAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW 7'HE SAME TO BE TRUE <br /> AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WII.L BE <br /> COMPLETED W1TH WHETHER SPECIFIED HEREW OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br /> 'f0 GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAI. LAW <br /> REGULATING COP75TRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY 'fHE <br /> OWNER OF THIS PROPERI'Y TO PERFORM 'I'HE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY W1TH <br /> THE STATE CONTRACTORS LAW 1R.27 RCW ANll 296.200 WAC. <br /> X Pee 7�l���P <br /> SignaNre Datc <br /> ��� �! . <br /> clecnpP(!/519P.. <br />