Laserfiche WebLink
� : <br /> APPLICATION FOR ELECTRICAL PERMIT <br /> CITY OF EVEREPf � <br /> HUILDING DMSION <br /> 3200 CEDAR STREEf � � <br /> EVERF:IT,Wq 987A1 <br /> 259-88f0 <br /> l7uf��nq�e� /I/ofl �lfrn �u� Ifaa/� 2900 �„� fr F e�rYT I✓c 48da1 ai� - <br /> �� Mail Address City . State/ iP Phone <br /> S6MP <br /> Tennnt , .. . MailAdd�ess . . City StaW�ip � %one <br /> SonP <br /> Elap4i�cel Conhactor Mail Addrcss City Sh1e/Zip Phooe State Liceuse No. <br /> " ��� _ ll�f:Cl <br /> Contnct Price of Work Proposed Uu of Building / <br /> ayao vOr�Q SZ �'JFPPfI WQ JOU[� �N� Of au� �NIPN <br /> Pro�ectAddmss T �tM04l� r/� ,/( J <br /> Description of Work N Be Doue: I��✓:G s CJ h P nT F r fF W I l'l Wtl �1oI I� �0/!i <br /> 1_n_s�au s� 1c�ire � T.rf�� r�vs nor{ � c s wo e_ r ,1�� L; <br /> ,�1�.`�j <br /> W'r� ona n � r��rt rr rat .r sw f�(rs a ��.,, 's � x'�om �.,��a <br /> o f�r� p,�. rr�rA1. ;„ ��s u(� ori 1'i�f' o a�u <br /> � � <br /> NOTE:WqC 296�6-140 REQUIRES'CEIqT PLANS FOR ELECfRICAL WORK AT EDUCATIONAL,INSTiTUTIONAL OR <br /> HEALTH CARE FACII.i77ES BE APPROVED BY Tf� STATE OF WASH[NGTOIJ. APPLICANTS WCtH SUCH]OBS <br /> MUST SHOW THF,STAi'E APPROVED PLANS BEFORE CRY OF EVERET PERMIT WiLL BE ISSUED. <br /> � NOTE:WIRING IN NON-DWELLWGS IS REQUIRED TO BE[N METAI,LIC RACEWAYS(MC AND AC,ARE CABLES, <br /> NOT RACEWAYS). <br /> I HEREBY CERTIFY THAT I HAVE READ ANp EXAMiNED THIS APPLICA7YON AND KNOW THE SAME TO BE 7RUE � <br /> AND CORRECT. qLL pROVISIONS OF LAWS AND ORDINANCES GOVERIVING THIS TYPE OF WORK WQ.L BE <br /> COMPLETED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRAN'IING OF A PERMIT DOES NOT PRESUME <br /> TO GNE AU7'HORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br /> REGULATTNG CONSTAUCI'ION OR THE PERFORMANCE OF CONSTRUC770N. THAT I AM qUTHORIZED BY THE <br /> OWNER OF THIS PROPER7Y 70 PERFORM 77�WORK FOR WfiICH APPLICAT[ON IS MADE AND I COMPLY WITH <br /> THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WqC. <br /> �� n <br /> X ��� <br /> � � _ gaG- q3 Fu s i <br /> Signature Date �i <br /> l�la�� <br /> cic<app(3/SNJ) <br />