Laserfiche WebLink
�F ' <br /> APPLICATION rOR �L�CTRICAL P�R1�1IT <br /> CITY OF EVERETT � <br /> BUILDING DIVISION <br /> 3200 CEDAR STREL•T f cj <br /> EVERETT,Wp 98201 ����/ <br /> ��S— 7�� 259•8810 <br /> SG LC C—T c:c�Ns r; ,'G-i� 1�3 l� �/ S,.�J %�J�r ��D � 7 <br /> Owncr Mail Addrrss City Stale/Zip Phone <br /> 'Ieoant � � Mail Addrcss Ci�y SlatclZip � Phoue <br /> JI/oh�o F��C- SyrS i92"`�'S�..J �wtivs t,�r,+, 9�oza 7r8-�s<as ,�,���rse,e <br /> latrical Contnclor Mail AddmsS City SIaldZip Phone Slale Lianse No. <br /> T�P�= �c <br /> Con�rect Price o(Work Proposed Use of Building <br /> 5S1/7 G��N��v �tVE <br /> Projat Addreu � <br /> Description of Work to Be Done: W��"� N�=�+-J ��L�=� W/� ��N t X <br /> `� — Zc.'L"� //7�In� �tJNcZs <br /> � NOTB:\VAC 296r36d40 REQUiRES THAT PLANS FOR ELECfRICAL WORK AT EDUCATIONAL,INSTITUTIONAL OR <br /> HEALTH CARE FACILTfIFS BE APPROVED BY THE STATE OF WASHINGTON. APPLICAMS WI7'H SUCH JO➢5 <br /> AfUST SHOW TE�STATE MFROVED PLANS BGFORE CITY OF EVEREI'PERMCf WILL BE ISSUED. <br /> NOTE:NRRING IN NON-DWELLINGS IS REQUIRL•D TO BE IN ML•TALLIC RACEWAYS (MC AND AC,ARE CABLES, <br /> NOT RACEWAYS). <br /> I HERIiUY CERT[FY THAT 1 HAVE READ AND EXAMINED TIi1S APPLICATION AND KNOW THE SAA1E TO UE TRUE <br /> AND CORRECC. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS 7'YPE OF WORK WILL ➢E <br /> COTIPLL•TED WITH WHEI'HER SPGCIFIGD HLREIN OR NOT.7'HG GRANTING OF A PERMI'C DOES NOT PRESUME <br /> TO GNE• AUTf10RITY TO VIOLATE OR CANCEL THE PROV1510NS OF ANY OTIiER STAYF. OR LOCAL LAW <br /> RE•GULATING CONSTRUC710N OR THE PL•RFORAtANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM TNE WORK POR WHICf;APPLICATION 1S�tADE AND I COMPLY WITH <br /> TH8 STATE CON7RACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> /!� <br /> � C�..�c� � `� 3-Z3 -93 r•� 7D <br /> sfgnamre D��c <br /> �(jCX.`� <br /> �i«.rr oisro» <br />