Laserfiche WebLink
crn� oF rwt�rr <br />BUILDING DiVI510N <br />3200CEDARSiRE[T <br />EVEREIT, WA 98201 <br />APPLICATION FOR GLGCTRICAI, PGRMIT <br />Mail Address <br />� <br />259-8870 <br />� <br />✓, l��N �7�'ZO/ %�i�ifi <br />Ciry StatNZip Phoae <br />Tenanl hfa�l Address Ciry SiatelZip Phone I <br />Conlnctor Dfail Addrcss Ciry SlaldZip PLone Slale Licrnu No. <br />l:ontnct Price of Wurk <br />Projvt Addrucs <br />Dcuription o! Work lo Be Danc: <br />� <br />Fro�ased Uu o( Building <br />-� / <br />NOTE: WqC 296-0G-I40 RGQUIRL•S 779AT PLANS POR ELECIRICAL WORIi AT L•DUCA770NAL, WSTITUTIONAL OR I <br />NLALTII CARL• FACILI:iLS BL• APPROVGD IIY TIiG STATE O� WA51{INGTON. APPLICANTS WIT79 SUCH ]OBS <br />M:15T SHOW TIiE STATL APFROVED PLANS H[FORL CITY uF EVpRET pERMIT WILL IIE ISSUED. <br />NOTG WfRING IN NON-UWL•LLINGS ]S REQUIRL•D TO BE IN METALLIC RACGWAYS (MC AND AC, ARE CADLFS, <br />NOT RACL•WAYS). <br />1 HLRGUY CGRP�F 'RiAT 1 HAVE RBAD AND [XAMWGb TNfS APPLICATTON AND KNOW TfiG SAME TO BG TRUL <br />AND WRItGCf. A�i. PROVISIONS OF LAWS AND ORDINANCL; GOVfRNING TIiIS TYPE OP WORK WILL IiG <br />COMPLGTED WITFI W1iETHGR SPL•CIFILD HGREIN OR NOT. THL GRANT[NG OF A PERMIT DOLS NOT PRFSUME <br />TO GIVL AUTIIORITY TO VIOLATG OR CANCL•L TI3G PROVI510NS OF ANY OTHER STATG OR LOCAL LAW <br />RIiGULA77NG CONSTRUCTIOh OR THG PLRFORMANCG OF CONSTRUCTION. THAT I AM AUTHORIZHD AY THG <br />OWNGR OP 77315 PROPLRTY TO PGRFORM TIiC• WORK FOR N711CH APPLICATION IS MADL A11U i COMPLY WITH <br />T11G STATG CON7RACTORS LAW 18.27 RCW AND 296.200 WqC. <br />� <br />Signatnre <br />;�-S'�l3 <br />d.�.nvOrsr�7i 1 <br />