Laserfiche WebLink
��— _— <br /> I� <br />' <br /> I <br /> ._ i <br />' AI'PLICATION I'OR EL�CTRICAL PERNIIT <br />� <br /> CI'1'Y OF EVERETT <br /> BUILDING DIVISION <br /> 3200 CEDAR STF�EET <br /> EVERETT, WA 98201 <br /> 259-8870 <br /> �'�. 6'nx '�'7338 <br /> EPj. UF �2nsPo.efa.fio.✓ O� llJ�} O�Unz,o�a Cr/� 9�.5�-f-733E' <br /> Owner Mail Address City �/ 'State/Zip Pho�e <br /> '� —='�S-/$_� <br /> /V I�I� ��•Teu2 �c,�y /9ssoc�a�n �/�0 9iai� �� ���,i�N G�AY �r.�it�� S�lC{� <br /> Tenant ' Ma� Address City State/Zip Phooe <br />� r� � - �M� <br /> IElectrical Contractor Mail Address City 'State/Zip Phone State Licease No. <br /> `��1'�.5.00 comme,ecia..� <br /> Contract Price of Work Proposcd Use of Building <br /> �'/.�; c� Cnp��nl L�JA�a �'r,f=���t � �fi 9�zo;� <br /> i'r.,�•�:t�lddress �, <br />�� . � <br /> :��:ription of Work to Be Donc: <br /> � c;ONT2oL /"RNEL .�rC �, 5 L��[cJ Vpj� • ��mmrrcictU <br /> — - ��—�� �S% �h` ��nr d 7 <br /> NG'i c:�VAC 29ti-46-140 REQUIRES THAT PLANS FOR EL.EC'I'RICAL WORK AT EDUCATIOYAL, INSTITTJT?ONAL OR <br /> HEi,LTH CARE � <br /> FACIL.ITIES IIE AF'PROVED BY TI� STATE OF WASHINGTON. APPLICANTS WITY. SUCH JOI3S <br /> ?�i[TS'I'SHOW TFIE S1'ATL APPROVED PLANS BEFORE CITY OF EVERET PERNfIT WILL BE ISSUED. <br /> NOTE:WII'�ING IAT NO*I-DWFiLLINGS IS REQUiRED TO B£ IN METALLIC R4CEWAYS (MC AND AC, .4RE Cr�.BLES, <br /> NOT R\CEWAYS). <br /> I FIEREBY CEK i:: 1' THAT I HAVE READ AND c�AMINED THIS APPLICATTON AND KNO�V THE SAME TO BE TRUE <br /> A,�'D CORREi'I'. ALL PROVISIONS OF LAWS AND ORDW,aNCES GOVERMNG THIS TYPE OF 1�ORK WLLL BE <br /> ('O�fPLETF:D WiTH WHETHEP. SPr:�IFIED HEcZEW OR NOT. 'FHE GRA,�1TIhG OF A PER�iTT DOES NOT PRESUME <br /> TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER S;ATE OR LOCAL LAW <br /> P�EGULATINC; CONSTRUCTTON OR 'I'Hfi PERFOR'�tANCE OF CON51'RUCI'ION. THAT I AM AUTHORIZED EY THE <br /> OWNER OF 7T_IS PROPERTY TO PERFORM I'IIE 1VORK FOR WHICH APPLICATION IS MADE AND I COMPLY WI"ITI <br /> THE STATE C0�iTRACTORS LA1V 18.27 RCW�YD 296.200 1VAC. <br /> I <br /> Y . <br /> �..c�L—« /�-(.p�� �.�—� — �/J � <br /> Si� ature F� �O �' <br /> Date <br /> /� �,��/ <br /> decnPp O/5� <br />