Laserfiche WebLink
,--, ,�. <br /> A.PPLICATION FOR ELECTRICAL PERMIT <br /> CffY OF EVERL•TT <br /> BUTI.DING DIVISION <br /> 3200 CEDAR STREET <br /> EVERETT, Wp 95201 <br /> EV e R c'iT S C �+ o o �- D 15 TR ► CT 2ss-ss�o <br /> 47�o COL � �I AVE EVNRE'i� WA. 9R2o <br /> Owner A�ail Address C�ty State/ZiP Phone <br /> ' _ SR�n� as � ao��r <br /> Tenant Aie�l Address <br /> Gty S�ate/ZiP Phone <br /> V� ���Y fL�CT INC. <br /> � 49 BEAVeR �i pRf�I fZ0 Mr vt � �1 , w A 98243 4za [�oz vAcc�t � ���,� • <br /> Eleclncal Contractor Mail Address C�ry State/2ip Phone State License No. <br /> �1, IS9 , 5 $B �'-� F� ( G µ scNoo� <br /> Contract Price of Work Propo,ed Use of Bu�lding <br /> E'Vi'RtZT f} IG H 5C F100{. <br /> 2yi� CoaBy lLvc•' EY_�. Rr• 17-' W � <br /> Project Address �— <br /> Description of Work to Be Donr.: _M��ER N L 2 14 T 1 O A1 D F M pr 1 1 [� 4 p L' <br /> I <br /> N07E:WAC 296-06-140 REQUIRES 7"rIAT PLANS FOR ELECfR1CAL WORK AT EDUCA7'IONAL, INSTITUTIONAL OR <br /> HEALTH CARE FACILITIES BE APPROVED BY THE STATE OF WASHINGTON. pPPLICANTS WI'!'H SUCH JOBS <br /> MUST SHOR'THE STA'IE APPROVED PLANS BEFORE CITY OF EVEREI'pERMIT WILL BE ISSUED. <br /> NOTE:WIRiNG IN NON-DWLLLINGS IS REQUIRED TO BE IN METALI]C RACEWAYS (MC AND AC, ARE C.4BLES, <br /> NOT RACER'AYS). <br /> 1 HEREBY CERTIFY TH.4T I HAVE READ AND EXA1.fINLD THIS APPLICAT70N AND KNUW THE SAA4E TO BE TRUE <br /> PND CORREC'I', ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING TH[S TYPE OF WORK WIZ. BE <br /> COMPLETED \VITH �1'HETHER SPECIriED HEREIN OR NOT. THE GRANfING OF A PERMIT DOES NOT PRESUME <br /> TO GiVE AUTNORITY TO VIOLATE OR CANCEL TiiE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br /> REGllLATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCfION. 7HAT I AM AUTNORIZED BY THE <br /> UWNER OF TH:S PROPERTY TO PERPORM THE WORK FOR WH1CH APPLICATTON ?S MADE AND I COMPLY WITH <br /> THE STA7'E COhTRACTORS LA\1' 18.27 RCW?.ND 296.200 WqC. <br /> �� � ��r g���J', �� <br /> Signaturc Fce <br /> Dait <br /> �,� �r,3� <br /> �i«orr f�is.o,, <br />