Laserfiche WebLink
.� � _ <br /> APPLICATION FOR ELECTRICAL PERMIT <br /> CITY OF EVEREI'I' <br /> BUII,DING DIVISION <br /> 3200 CEDAR STREET <br /> EVE1tF.TT.WA 98201 <br /> 259-88f0 <br /> 1.d�Llinnlnrl IVO��FPh yl I� O�_100 on I <br /> � S�t � ,��Fff 1�/'a qg�i� a5�i 9(,�ti <br /> �W / ?:"•"""r� C+ry - S te/ZiP Phone <br /> �GNtp <br /> Tenant Mail Address . . . . C�ty State/Zip . . Phone <br /> �wAet <br /> Eixtncal Contractor Ma�l Address C�ty State/Zip Phone State License No. <br /> !l3. fIOQ , <br /> -; ��r <br /> Contract Pnce of Work Proposed se of Building <br /> _ aaao 13a��( s�- <br /> Pro�ect Address <br /> Description of Work�to Be Done: <br /> Un�rQ��p (i�fG�Pi� 1 SF!'viCP �6 �0 G„t� � n 14cP� <br /> �►n�r`al' �Virinm 1�0!` hLn� n� Q��J`S � <br /> / <br /> NOTE:WAC 296-46-140 REQUIREg TTiqT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, WSTITUTIONAL OR <br /> AEALTH CARE FACII,ITIES BE APPROVED BY THE STATE OF WASHINGTOI+I. APPLICANTS WIT'H SUCH JOBS <br /> MUST SHOW 1T�STATE APPROVED PLANS BEFORE C1TY OF EVERET PERMIT WII,L BE ISSUED. <br /> NOTE:WIRWG IN NON-DWELLINGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I HEREBY CERTlFY THAT I HAVE READ AND EXAMINED THIS APPLICATTON AND KNOW THE SAME TO BE TRUE <br /> AND CORRECI'. ,4L,L PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WI1,L BE <br /> COMPLETED WiTH WHg'I'HER SPECIFIED HEREIN OR NOT. THE GRAN1'ING OF A PERMIT DOES NOT PRESUME <br /> TO GNE AUTAORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY pT'HER STATE OR LOCAL LAW <br /> REGULATING CONSTRUCfION OR THE PbRFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS ivSADE AND I COMPLY WITH <br /> THE STATE CONTRAC7'ORS LAW 18.27 RCW AND 296.200 WAC. <br /> V/ <br /> X .,�c � ,�,,�a- 1- 3 �`I`t F� � 9S� i <br /> Date � <br /> dec�pF(3/5/93) <br /> I <br /> i <br /> I� <br />