Laserfiche WebLink
APPLICATION FOR�L�CTRICAL P�RMIT <br /> CIfY OF EVERETT � <br /> BUILDING DNISION <br /> 3200 CEDAR 57REE3' <br /> EVERE7T,WA 98201 <br /> 259•88f0 <br /> � � �..E- � ����o S?09 .Ue.-Si'Cc'.J U�. EUP�'c'I��`/� S�.QOJ'/3s5•Sj20 <br /> Owner Mail Address Ciry StaldZip Phouc <br /> S-s�i-�oaG^ <br /> Tennnt � �� � Mail Address City SutelZip � Phooe <br /> 2. <br /> ��.c.2c �r /)78/7I S��S 48 '�; l97,�i.ssw!/e 96776 G5.2ass2. �u�tcs/99i17,3/9e11 <br /> Electrcal Contrector Mail Address C y StaldZip Phooe S1ate liceau No. <br /> ^d�E .STor� <br /> Contncl Price oC Work 1 vposul Use o(Building <br /> SaD2 "" c.i- rte.J C�-�c /�vc�c 77' C�'� <br /> Project Addrrss . <br /> Descriplion o(Work ta Be Done: �/!70 d P �r w �e L.i i�-e L.� <br /> � NOTE:WAC 296-06d40 REQUIRES THAT PLANS FOR ELECfRICAL WORK A1'EDUCA7'[ONAL, ]NSTITUTIONAL OR <br /> HEALTH CARE FACILITIL•5 BE MP;tOVED HY THE STATE OF WASHINGTON. APFLICANTS WITN SUCH IOBS <br /> MUST SHOW'CF�STATE APPROVED FLANS DEFORE CfCY OF EVERET PGFLiv11T R9LL DE ISSUED, � <br /> NOTE:WIWNG IN NON-DWELLINGS IS REQUIRED TO BE[N ML-TALLIC RACEWAYS (MC AND AC,ARE CABLES, <br /> NOT RACEWAYS). . <br /> I HEREBY CERTIFY THAl'I H:.V6 READ AND EXAhf WGD THIS APPLICATION AND KNOW TdE SAML 70 BE TAUE <br /> AND COFLI(ECT. ALL PROVISIONS OF �WS PND ORDINANCES GOVERNING THIS TYPE OF WOR}: WILL BE <br /> COMPLETED WITH WH�1'IiER SPECIFIED HEREIN OR NOT.THE GRAMING OF A PENI�iIT DOLS NOT PRLSUME <br /> TO GNE AUTHORITY TO VIULATE OR CANCEL THE PROVISfONS OF ANY OTHER STATE OR LOCAL LA0.' <br /> REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCI70N. 7HAT 1 AM AUTHORIZED BY'IHF. <br /> OWNER OF THIS PROPERTY TO PERFORM T}iE WORK FOR WHICH APPLICATIOY IS MADE AND T COMPLY\NTH <br /> THE STATE CONTRACfORS LAW 18.27 R�W AND 296.20ii WAC. <br /> _! � lJ�b--� i o-i�-g3 �� <br /> _ ru �3D- <br /> Signature _ Da�e <br /> �/a'�;'s <br /> �i«,vr�isro�l <br />