Laserfiche WebLink
CITY OF EVERETT <br />BUII.DING DMSION <br />3200 CEDAR STREET <br />EVEREIT, Wq 98201 <br />Owner <br />(.�4 r�.,� <br />APPLICATION FO� ELECTRICAL PERMIT <br />�9� ���1�� <br />,�Sio Sw t ���i <br />Mail Address <br />� �%?.GUG l �.' %v/ S f r7 ^/� _ � <br />Tenant ' Mail Address <br />//�/�_..I <br />�� � <br />�l% �����y� �l �3 25s-88fo <br />a�� <br />� ��-�a�- <br />aC�: Gri+vx �u� uh 9.F?�� �– --� <br />City State/Zip <br />Electrical Coatractor Mail Addre,�, City State/Zip <br />_—� _`�j 9 '� [ a.� .r. <br />Contract Price of Work Pmposed Use of Buil� <br />� J 4 S� Fctere%, /'/IP �LL �v,�,� <br />Ptoject Address <br />StatelZip <br />�ly 3- 96 zc7 <br />Phone <br />`�' <br />Phone <br />� <br />State L cense No. <br />,°'°'� Description of Work to Be Done: I,�S�A � L. A.'��d.t� 6� ,(.�- L�v c,� lJ O c��'�o �y <br />.�QCcc/z..,�_ -Y� S���ZM7 <br />NOTE; WAC ?.96-46-140 REQUIRES TT3pT PLANS FOR ELEGTRICAL WORK AT EDUCATIONAL, INSTTTUTIONAL OR <br />FiEALTH CARE FACII.ITIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS W1TH SUCH JOBS <br />MUST SHOW T�IE STATE APPROVED PLAPIS BEFORE CITY OF EVEAET PERIvIIT WII,L BE ISSUEA. <br />NOTE: WIRWG IN NON-DWELLWGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC .�TD AC, ARE CABLES, <br />NOT RACEWAYS). <br />I HEREBY CERTIFY'�'HAT I HAVE READ AND EXAMINED THIS APPLICATION AND KIvOW TI3E SAME TO BE TRUE <br />AND CORRECT. ALL PROVISIONS OF LAWS AND ORDWANCES GOVEItNING THiS TYPE OF WORK WII,L BE <br />COMPLETED WTT$ VVF�TF�R SPECIFIED HEREIIv OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br />TO GIVE AUT'HpRI'Iy TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHEk STATE OR LOCAL LAW <br />REGULATING CONSTRiJCTION OR THE PERFORMANCE OF CONSTRtTCTION. THAT I AM AUTHORIZSD BY THE <br />OWNER OF THIS PROPERTY TO PERFORM Tf� WORK POR WHICH APPLICATTON IS MADE AND I COMPLY WIT;i <br />Tf� STATE CONT'RACI'ORS LAW 18.27 RCW AND 296.200 WAC. <br />� <br />Date <br />F� !3l0 �2 <br />elecepp ()/5/9J; <br />