Laserfiche WebLink
A.PPLICATION FOR ELECTRICAL PERiVIIT <br /> CITY OF EVER.ETI' � <br /> gULLDING DMSION <br /> 3200 CEDAR STREE'i <br /> EVERETT, WA 98201 259-8610 <br /> � 34 7-/G5� <br /> �'.l�den �scH��e. ��� / 7 ��i2,e✓�c--�c) �.n/ CC✓e,ee� 6uf? 9S'�.o 3 <br /> Owner Mail Addrrss City S�ite/Zip Phone <br /> /u � <br /> Tenan �� Mail Addre.-s . City State/Zip • Phone <br /> =1/7' — �/ / � <br /> Ele:trical Contractor Mai1 Address City 'State/Zip Pho�e State License No. <br /> �q5.00 S�l2 <br /> Contract Price of Work Proposed Use of$uilding <br /> ��/ � ��,�,��� �� �v��� w.�� 9�zo� <br /> Project Add�ess ' <br /> Ducription of Work to Be Dooe: <br /> ,Loi.J �/�gc Sc Ss .�iCi� <br /> L'.lIST �F �30%9 -/-ZS <br /> NOTc:WAC 296-46-140 REQUIItES THAT PLAi�IS FOR ELECTR[CAL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br /> HEAI,TI-I CARE FACII�TIES BE APPROVED $Y TI-IE STATE OF W.4SHINGTON. APPLICANTS WITH SZICH 70SS <br /> MIIST SHOW TF� STATE APPROVED PLAIvS BEFORE CITY OF EVERET PERivfIT WII.L BE ISSiJED. <br /> NOTE:WIItING W NON-DWELLINGS IS REQUIRED TO BE IN METALLIC Re�.CEWAYS (MC ANll AC, ARE CABLES. <br /> NOT RACEWAYS). <br /> I FiEREBY CER'[TFY THAT I HAVE READ AND EX.4MINED T'rIIS APPLICATION AND KNOW'i'F�SAME TO BE TRU=_ <br /> AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVEIWING THIS TYPE OF WORK WII.L BE <br /> COMPLETED WITH WHEI'HER SPECIFIED F-ItREIN OR NOT. THE GRANLING OF A PERMTT DOES NOT PRESUME <br /> TO GIVE AUTHORI'i'Y TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STP.TE OR LOCAL LA�� <br /> REGULATING CONSTRUCTIOh' OR TIiE PERFORMANCE OF CONSTRUCI'fON. THAT I AM AUTHORIZED BY TF� <br /> 01VNER OF TI-IIS PROPERTY TO PERFORtif TI-IE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY Wl'R-i <br /> TI�STAT'E CONTRAGTORS LAW 18.27 RCW AND 296.200 WAC. . <br /> . . X �� /�-(�<..�.�, /'/�- �I�- ' Fa .30.ov-. <br /> Sio amre Date <br /> � I <br /> - ,, 2�, <br /> � � clecePP G' <br />