Laserfiche WebLink
� �3 APPLICATION FOR �LECTRICAL PERMIT <br /> CITY OF EVERETT <br /> BUILDING DMSION <br /> 3200 CEDAR STREET <br /> EVERETT.WA 98201 259-8810 <br /> P�..�,i��� L3�2.� G�.,-�,� �-e ��,,�..� �- 9��.o ��Z-zr�3� <br /> Owuer Mail Address City State/Zip Phone <br /> �a--��� -� <br /> Tenant Mail Address City State/Zip Phone <br /> 91 3/ 3/S-�-F5£.• A�Pir9�oEzo,�— <br /> ��;3�A�4.n...9�– ,�P.,(au:Y �it 9�f?�o$ 33 7-3006 <br /> � Elxtrical Cont tor Mail Address City StatelZip Phone State License No. <br /> �3d�'— /�a v�' � <br /> Contract Price of Work Proposed Use of Building <br /> /3 2 Co G�te..,.A �.�,.� c��,.��'. <br /> Project Address <br /> . � X <br /> � <br /> Description of Work to Be Done: <br /> w.v o IT - <br /> NOTE:WAC 296-46-140 REQU[RES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br /> HEALTH CARE FACILITIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS <br /> MUST SHOW Tf�STATE APPROVED PLANS BEFORE C[TY OF EVERET PERMTT WILL BE ISSUED. <br /> NOTE:WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE <br /> AND CORRECT. ALL YROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE <br /> COMPLETED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br /> TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br /> REGULATING CONSTRUC770N OR THE PERFORMANCE OF CONSTRUC7'ION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH <br /> THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> -- .3.5�� <br /> XC��-z-c�_. ._-c%..�r -y.�c.� / /�- 9 5� F�.�— <br /> Signature Date <br /> decepp(!/5/971 <br />