Laserfiche WebLink
CITY OF EVERETT <br />BUII.DING DMSION <br />3200 CEDAR STREET <br />EVERETT, WA 98201 <br />o�� <br />Tmant <br />APPLICATION FOR �LECTRICAL PERMIT <br />Msil Addrcss <br />Mail Address <br />City <br />l �t $a o <br />State/Zio <br />StatelZip <br />259-88f0 <br />� �' <br />P6one <br />Phone <br />S�'�/1/v�,Q <br />Elxtrical Contracror Mail Addrcss City Smte/Zip Phone State Liceose No. <br />Contact Price of Work <br />Projxt Address <br />\l S\r�l �h�C <br />Proposed Use of Building <br />Descriptiou of Work to Be Dooe: RP C� ` Cl �� vV� c�,n ��" � fi���_� r� � L� ��o � <br />NOTE: WpC 296-46-140 REQUIRES T'HAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br />HEAI.TH CARE FACILITIES BE APPROVED BY Tf� STATE OF WASHINGTON. APPLICANfS WITH SUCH ]OBS <br />MUS'C SHOW TI� STATE APPROVED PLANS BEFORE CTTY OF EVERET PERIvIIT WILL BE ISSUED. <br />NOTE: WIRING IN NON-DWELLINGS IS RSQUIRED TO BE W METALLIC RACEWAYS (MC AND AC, ARE CABI.ES, <br />NOT RACEWAYS). <br />I HEREBY CER'1'IFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW TFIE SAME TO BE TRUE <br />AND CORRECf, ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPS OF WORK WII,L BE <br />COMPLETED WITH WHEtHgR SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br />TO GNE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LUCAL LAW <br />REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONST};UCI'ION. THAT I AM AUTHORIZED BY TfiE <br />OWNER OF THIS PROPERT'Y TO PERFORM Tf� WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH <br />Tf� STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />, /a(� y�0 <br />`-/' <br />Fee /� <br />elecapp (J/Sl9J`. <br />