Laserfiche WebLink
� <br /> �,�zas5 <br /> APPLICATION FOR ELECTRICAL P�RMIT <br /> G13 � <br /> CITY OF EVERETT � <br /> BUILDING DIVISION <br /> 3200 CGDAR STREET <br /> EVEREIT,WA 98201 <br /> 259-88f0 <br /> �Si-/Y t o <br /> T�n/�a- F�S+f- 1 '7 � � �i�t� �d,r� Lva+�-�r- �,Va. 4Pa�ar <br /> Uwer Mail Addreu Ciry SlatdZip Phooe <br /> Teoanl � Mail Address Ciry SUIdZip Phoue <br /> -rU.2w�u una- 4vr6y �'6 'a' <br /> Gc.�DR.Gc� 8 ru�� SL'+LJ cU.3 !�o(,3 p,�«� `�y s 9Rst-�ta Gtwnc�a���1 <br /> Elwtrial Conlrzctor Mail Addless Ciry SIaldZip Phone Slate Licenu No. <br /> `¢'l`f�', oo SF 11 <br /> Cantrzct Price of Wo�k Proposed Use of Building <br /> 1'Z I� (�/��S" #'Y7L-f C_.S11VMc'�T� u1r� <br /> Projut Addrcss - <br /> Deuription o(Wark to De Uone: �'�'A�t F'UT' 0 Jr- �yn (j�+Y11't.« r�+aN e l,� <br /> vJ ,Tw- n1�-�,� l.-1�.-�a�e �s re. uJ FNrw�nrvnc: <br /> NOTE:WAC 29G-06-I40 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL,INSTI'1'UTIONAL OR <br /> HEALTIi CARL• FACILifIES BE APPROVED BY THG STATL• OF WASHINGTON. APPLICANTS WITH SUCH lOBS <br /> MUST SHOW TF{E STA7'E APPROVED PLpNS BEFORE Cfl'Y OF EVL•RET PLRMII'WILL BE ISSUED. <br /> NOTE:WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN MEI'ALLIC RACEWAYS(MC AND AC, ARE CAHLES, <br /> NO'C RACE•WAYS): <br /> I HL•REIIY CERTIFY 7'HAT 1 HAVE READ AND E%AMINL•D 7HIS APPUCA7'ION AND KNOW THE SAMC TO BE TRUG <br /> AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS 7YPE OF WORK W[LL HE <br /> COMPLETED WITH WHEfHER SPGCIPIED HEREfN OR NOT.THE GRANTING OF A PERb1Cf DOES p10T PRESUME <br /> TO GIVG AUTIIORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER S'fATE OR LOCAL LAW <br /> RLGULATII2G CONSTRUCTION OR THG PERFORAfANCE OF CONSTRUCiION. THAT I AM AUTHORIZED BY THG <br /> OWNGR OF 7'HIS PROPERTY TO PERFORM THE WORK FOR WHICH APPUCATION IS MADE AND 1 COMPLY WffH <br /> THH STATE CONTRACI'ORS LAW 18.27 RCW AND 296.200 WAC. <br /> \ ^ ' <br /> � )�o.�.S�- �y- C.�-4^I I 0��i"i Fee ��J� <br /> SiguaWm Dale <br /> deuPP 0/SN]) <br />