Laserfiche WebLink
CITY OF EVERETT <br />B[7II.DING DMSION <br />3200 CEDAR STRES7' <br />E��TT, WA 98201 <br />)f��l'lt'S � C/ <br />Owner <br />Teoant <br />Electrical Contractor <br />Contr..ct Pria of Work <br />. i� 9 Ca <br />Project Address <br />v <br />AI'PLICATION FOR �LECTRICAL PERMIT <br />!►il SOvB C�c.l; y <br />Mail Address <br />Mail Address <br />Mail Addrcss City <br />Description of Work to Be Done: <br />P <br />City <br />City <br />State/Zip <br />Proposed Use of'nuilding <br />State/Zip <br />State/Zip <br />Phone <br />�.v �' P <br />�viT <br />259-88f0 <br />Z��" <br />P600e <br />Phone <br />State License No. <br />NOTE: WAC 296-46-140 REQiJIREg'TI-�AT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTTONAL OR <br />HEALTH CARE FACILITIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS W1Tf; SUCH JOBS <br />MUST SHOW THE �Tq']'E qppROVED PLANS BEFORE CITY OF EVERE'I' pgRM11' W�,L BE ISSUED. <br />NOTE: WIRING IN NON-DWELLJ1•fGS IS REQUIRED TO BE IN METALLIC RACEWqyS (MC AND AC, ARE CABLES, <br />NOT RACEWAYS). <br />I��BY CER7'IFY'fHAT I HAVE READ AND EXAMINED THIS APpLICATTON AND KNp�y 1'f� SpMg TO BE TRUE <br />AND CORRECI', ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK W(LL BE <br />COMPLE'fED WI'I'y WHg'�ER SPECIFIED HEREIN OR NO'C. 7'AE GRANT[NG OF A PERMIT DOES NOT PREStJM& <br />TO GNE AiJ7'ApRITy TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br />REGULA77NG CONSTRUCTTON OR THE PERFORM,4A7CE OF CONSTRUGTION. THAT I AM qUTHpRIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM TIiE WORK FOR WHICH APPLICATION IS MADG qND I COMPLY WI'I'H <br />THE STATE CON(RACTORS LAW 18,27 RCW AND 296.200 WAC. <br />Signature <br />Date <br />�/a 19v <br />Fee � <br />�i«evr �rsi9�> <br />