Laserfiche WebLink
APPLICATION P'OR�L�CTRICAL PERMIT <br /> crrr or•sv�[�TT <br /> ➢UILDING DIVISION <br /> 3200 CEDAR STREET <br /> EVERE7'I',1VA 98201 �T <br /> 259-8810 <br /> J:n� .t Nc�ls <br /> Oumer h1ail Address City Smtc/Zip Phone <br /> Ten;ml � � Mail Address City Smte/Zip � Phonc <br /> /.'o,z,eli�n,c ta,r� S'T�rT's 3�vi/S7 �,zp�rt77cr? <br /> Llectrical Contractor Mail Addars City Stale.'Zip Phone State License No. <br /> mD <br /> �,_S(J �— nitn•I `�',���y'( <br /> .:onhact Price of Work Prop .ed U�g <br /> -c ��r—'�r— .T J� ���% �CIYI'��n�I <br /> Projut Address . <br /> Descriptiono(WorktoBeDone: ���6; �l'l%�� I;[;,� <br /> NOTE:WAC 296-0G•140 RLQUIRES THA'f PLANS FOR ELECfRICAL WORK AT E•DUCATIONAL, INSTI'1'U'fIONAL OR <br /> HEACIH CARE FACILTTIES IIE APPROVED BY THE STATE OP WASHINGTON. APPLICANTS W1TH SUCH 10DS <br /> MUST SHOW THE STAT'E APPROVED PLANS BEFORE CITY OF EVERET PERMIT WILL AE 15SULD. <br /> NOTL•:WIRING IN NON-DWELLiNGS IS RGQUIRED TO DE IN METALLIC RACEWAYS(MC AND AC, ARE CADLES, <br /> NOT RACEIVpYS). <br /> I HERC•OY CERTIFY 7H.4T I HAVP REqD AND EXAMINED 7'HIS APPLICATION AND KNOW 7'HE SAME TO➢L TRUG <br /> AND CORRECT. ALI. PROVISIONS OP LAWS AND ORDINANCES GOVE6NING THIS TYPE OF WORK WILL BE <br /> COh1PLETED WIT}I WHECHER SPECIFIED HGREW OR NOT. THG GRANTING OF A PLRMIT DOES NOT FRESUME <br /> 'PO GIVL- AUTIIORITY TO VIOLATE OR CANCLL T}3E }'ROVISIONS OF ANY OTHHR STATG OR LOCAL LAW <br /> RLGULATING CONSTRUC7ION OR THE PLRFORDiANCE OF CONSTRUCfION. THAT I AM AUTHORIZED BY 7'HL <br /> OWNER OF THIS PROPERTY TO PERFORM THE WUR}:FOR WHICH APPLICATION IS MADE AND I COMPLY W1T.d <br /> 'I7dG STATE CON1'RACTORS LAW 18.27 RCW AND 29G.200\VAC. <br /> 0 <br /> � i. <br /> �/�,�>-..�- r-�-y3 F� 2s - <br /> Signaturc Date <br /> L� I���` <br /> ciccnpp Ql�r9I) <br />