Laserfiche WebLink
CIT'1' OF EVERETT <br />IIUII.DING DMSIOAI <br />3200 CEDAR STREET <br />EVFiREIT, WA 98201 <br />%�� <br />.-, <br />� <br />APPLICA7'ION FOR ELECTRICAL PERMIT <br />Mail Addre:s <br />Addre;s <br />� OitJ)ti�i '� � <br />I Q��(��.) 3 <br />City <br />City <br />; .3�39= <br />StatelZip <br />State/Zip <br />/� <br />���� � <br />r, <br />3 <br />Phone <br />P6one <br />��C�n'i� <br />�����-�� <br />Electrical Contractor Mail Addre:.s City State/Zip Phone State Liceose PIo. <br />00 <br />.SbO <br />Contract Price of Work <br />Project Address <br />Description of Work to Be Done: <br />Proposed Use <br />NOTE: WAC 296-46-140 P�QUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, WSTTI'Cr:':ONAL OR <br />HEALTH CARE FACII.TTIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WIT'H SUCH 70BS <br />MUST SHOW TF� STATE APPROVED PLANS BEPORE CITY OF EVERET PERMIT WII.L BE ISSUED. <br />NOTE: WIFtING IN NON-DWELLINGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, � <br />NOT RACEWAYS). <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE <br />AND CORRECI'. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF VlORK WII,L BE <br />COMPLETED \VITH WHETHER SPECIFIED iiEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br />TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br />REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORIC FOR WHICH APPLICATION IS MADE AND I COMPLY WITH <br />Tf� STAT'E CONTRACTORS LAW 18.27 RC\`/ AND 290.200 WAC. <br />" �-�-%"o�G�'� ,�z;� � `',��, !�� _ F� 3 7 .�� <br />Date <br />elecepp (J/S193) <br />