Laserfiche WebLink
. . . __._ . .r. . <br /> I . <br />� <br /> �...,.� �. ' <br /> I <br /> APPLICATION FOR ELECTRICAL PERMIT � <br /> I <br /> CITY OF EVERETT <br /> BUII.DING DMSION <br /> 3200 CEDAR STREET' I <br /> E��TT, WA 98201 ' <br /> 259-8810 <br /> _�OtIA:b EiY1PCOVEES C['��T i1.1 1 i2 �•�o ��r�,n� ii� 'T�l�i � !.9 �w 9Rii c <br /> Owner Ma�l Addrcss C�ty Sta��� `r3l .S`�$�j e <br /> t�as�,�K 6mPLOY�ES (� ET " il i <br /> Tenant � Mail Address . . — <br /> -ity Statel7rp Phone <br /> VELA FLEcT2ic. �., � ? �� : n�c )� /�-�i�✓�L /�IA 98004 /�SoSaS V ra Fr��. <br /> Electncal Contractor Mail Addross y ��� <br /> d � . <br /> C�ry State/Z�p Phone State Liceo,a No. <br /> 2 8S o00 �f'i�F <br /> Coatract Price of Work Proposed Use of Building <br /> ll117 E ✓P�GPEFiJ/.lA� i Ufvi�7��q <br /> Pro�ect Address <br /> Descriptian of Woric to Be Done: %r S,-R � c��7��� _/ FF-�y.p� � ,�-c� f-� ' S�. ,TY <br /> 9� 7EGE�/v ��� . <br /> 9Tla <br /> NOTE:�VAC 296-46-140�REQUlREg'I�IqT pI„qNS FOR ELECTRICqI,WORK AT EDUCATlONAL, INS'l1TCTITONAL OR <br /> HEAI-TH CARfi FACILTITES gg qppROVED BY'Tf�'STqTE pF WASHINGTON. APpI,[C,�N�'g WiTH SUCH JOBS <br /> MUST SI30W T'f�STATE APpROVED PLFiNS BEFORE C1TY OF EVERET PERTvI1T WII;I,gE ISSUED. <br /> NOTE:W�pqG IN NON-DWELLINGS IS REQUIRED TO BE IN METALLiC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACL•WAYS). <br /> I HEREHY CERTL�'Y TTiqT I HpyE ggqn,�t,JJ?EXAMWED THIS APPLiCA'IION AND IWOW THE SAME TO BE TRUE <br /> �D C��CI'• ALL PROVISIONS OF LAWS AND ORDWANCES GOVERNING THIS TYPE OF WORK WII.I, BE <br /> COMPLE'I'6D WI'I'!i VVH�'(-�R SPECIFIED HEItEI1•7 OR NOT. THE GRANTING OF A PERMTT DOES NOT PRESUbffi <br /> TO GNE AUTHORITy TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTf�R STqTE OR LOCAL LAW <br /> REGU1-ATING CONSTRUCI70N OR THE PERFORM,yNCE OF CONSTRUC170N. THAT I AM AUTHORIZED BY TfiE <br /> OWNER OF THIS PROPERTY TO PERFORM THE\VORK FOR WHICH APPLICA'ITON IS MADE AND I COMPLY WTTH <br /> THE STATE CON'1RqCI'ORS LAW 18.i7 RCW,qND 296.200 WqC. <br /> X 7'1� /� �r z � i'� I� ` f <br /> S�gnature � Fee�.30 J� <br /> Date <br /> t��, , ! <br /> �i«.cv(�isro� <br />