Laserfiche WebLink
APPLICATION FOR �LECTRICAL PERI�SIT <br /> CITY OF EVER.ETI' <br /> BUILDING DI�'ISION <br /> 3200 CEDAR STREET <br /> EVERETT, WA 98201 r <br /> 259-8810 <br /> VIACOM CABLE 14870 NE 95TH STREET REDMOND °3052 745-8400 <br /> Owner Mail Addrus Gty SGte;Zip Phone <br /> Tenant . . Mail Address . City State/ZiP � Phone <br /> OWNER <br /> Elutrical Contrzctor Mai1 Address City State/Zip Ph000 State I.icense No. <br /> Contract Price of Work Proposed Us�of Building <br /> VIACOM <br /> Projec.Aidress <br /> Description of Wark to Be Dooe: CATV POWER SUPPLY - BLANKET PERMIT PER ATTACHED LISTING <br /> Via nn k�ill fall l�n Ra,d� For Tnaa-,tion� <br /> NOTE:WAC 296-46-!40 REQUIIZES THAT PLANS FOR ELECTRICAL W ORK AT EDUCATIONAL, INSTITUTIONAL OR <br /> HEALTH CARE FACII.ITIES BE APPROVED BY THE STATE OF WASHINGTOIJ. APPLICANTS WITTI SUCH JOBS <br /> MUST SHOW THE STATE APPROVL-U ?LANS BEFORE CITY GF EVERET PERMIT WLL 9E ISSUED. <br /> NOTE:WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN MET,ILLIC RACEWAYS (MC AND AC, ARi: CABLES, <br /> NOT RACEWAYS). <br /> I HEREHY CERTIFY THAT I HAVfi READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE <br /> AND CORREC'I', qL,L PROVISIONS OF LAWS AND ORDWANCES GOVERMNG THIS TYPE OF WORK WILL BE <br /> COMPLETED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRAN'I'ING OF A PERMPP DOHS NOT PRESUME <br /> TO GNE AUTFIOItITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br /> REGULATING CONSTRUCTION OR THE PERFORViANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORIoi THF. WORK FOR WHICH APPLICATION IS MADE AND I COMPLY'tWITH <br /> "fHE STATE CONIRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> ( 18 svcs � $30) <br /> � � 1 , � � <br /> � �\/��� � A -t� �� Q � 4-29-94 Fee3540.00 <br /> Sienature � Dalr <br /> rlccapp Q/Sw+ <br /> � <br />