Laserfiche WebLink
APPLI��ATION FUR ELECTRICAL PERMIT <br />CITY OF EVERETT <br />BUII.DING DMSION <br />3200 CEDAR STREET <br />EVEREIT, WA 98201 <br />259-8810 <br />�yn �l C'o �%e� Gr L 5 3�( �{�F�' /�IC ..S^¢.t�/G CU� ��'lLS .snC - 5-23- v9o� <br />p�� Mail Address City State/Z�p P6one <br />Tenant <br />% � L'u,ttc (T <br />trical Contcactor Mail Addrcss <br />�� <br />Contnct Price of Work <br />%. � i! G H � <br />Projcet Addrcss <br />Dacription of Work to Be Done: <br />Ciry <br />0 <br />City <br />Proposed Use of Building <br />State/Zip <br />Phone <br />�� `//� <br />Phone <br />State Licease No. <br />tY�-Anrssrva�r' <br />NOTE: WAC 296-46-140 REQUIRES'I'H�+T PL�NS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br />HEALTH CARE FACIL.ITIES BE E.PPROVED BY 'PHE STATE OF V!�ASHINGTON. APPLICANTS WITH SUCH 70BS <br />MUST SHOW Tf� STATE APPROVED PLANS BEFORE CITY OF EVERET PERIvIIT WILL BE ISSUED. <br />NO'fE: WIRING IN NON-DWELLiNGS IS REQUIRED TO BE IN hiETALLIC RACEWAYS (MC AND AC, ARE CABLES, <br />NOT RACEWAYS). <br />I FiEREBY CERTIFY TFIAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE <br />AND CORRECI'. ALL PROVISIONS OF LAWS AND ORDINANCES GOVEIWING THIS TYPE OF WORiC WILL BE <br />COMPLETED Wl'fH �YHbT'HER SPECIFIED AEREIN OR NOT. THE GRAN'fING OF A PERMIT DOES NOT PRESUME <br />TO GIVE AJTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br />REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM Tf� W�RK FOR WEIICH APPLICATION IS MADE AND I COMPLY WITH <br />THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />X <br />Signaturo <br />�� <br />��/l�-�� <br />Date <br />� i <br />i � c� <br />Fee <br />elecnpp (.45/97` <br />