Laserfiche WebLink
� APPLICATION FOR ELECTRICAL PERMIT � <br /> �31� <br /> CIT1'OF EVERETT <br /> BUILDING DNISION <br /> 3200 CED.aR STREET <br /> EVERETT, WA 98201 � <br /> 259-8810 <br /> y�'lI2,QAl'1' \�n/��� Sf�/4 ��1�/)1/1/1 �il (�/1/�7 �� r l�C�� <br /> Owner Mail Address City State/Zip Phone <br /> Tenant . Mail Address . City Smte/Zip � Phone <br /> � �3y a 9�� �- c '� <br /> �����'ra��� � �� ��,,� .��,�,�Q,.C.�,�-, JJa ��� a irE ���i <br /> Elu4ical Co�ctor Mail Address Ciry S Zip ' Phone State License No. <br /> �', <br /> Contract Price of Work Proposed Use of Bui�•ling <br /> 4 7 ' %/� �CJiP <br /> Project Address n <br /> Description of Work to Be Done: ��L7.��1� �(��// /�� -- /�/ ;,�Y/� � <br /> �j� <br /> NOTE:WAC 296�6-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSITTUTIONAL OR <br /> HEALTH CAR& FACII.TfIES BE APPROVED BY Tf� STA'f� OF WASHINGTON. APPLIC�S W1TH SUCH JOBS <br /> MUSf SHOW THE STATE APPROVED PLANS BEFORE C1TY OF EVERET PER1vfIT WILL BE ISSUED. <br /> NOTE;WIRING IN NON-DWELLINGS IS REQUIR�U TO Bfi W METALLIC RACEWAYS (MC AND AC, AR& CABLES, � <br /> NOT RACEWAYS). <br /> I HEREBY CERITFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ANL KNOW TE�SAME TO BE TRUE <br /> AND CORREGT, ALL PROVISIONS OF LAWS AND ORDWANCES GOVERNING THIS TYPE OF WORK WII,L BE <br /> COMPLE'I'ED WITH WHETHER SYECIFIED HEREIN OR NOT. THE GRANTWG OF A PERMiT DOES NOT PRESUME <br /> TO GNE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAI, LAW <br /> REGULATING CONSTRUCIION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPER'fY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITA <br /> THE STATE CONTRAGTORS LAW 18.27 RCW AND 296.200 WAC. <br /> , • > /�:.2 K-%3 F� a.�.D � <br /> Signamre Date <br /> a«err(�isiv3� <br />