Laserfiche WebLink
CfIY OF EVEREY'P <br />BUII.DWG DMSION <br />3200 CEDAR STREET <br />HVE1iECT, WA 98201 <br />� <br />owner <br />Tm�at <br />r/ V ✓� Or^�% � I <br />E��I1C�( C(iOilfClO.' <br />Contnct Price of Work <br />1�11� <br />Projat Address <br />APPLICATION FOR ELECTRICAI, PERMIT <br />/�%d ��%� � �'� ,.-- <br />��, aN �o•� ir�(� s�-�w <br />Mail Address <br />Mail pddress <br />�� Q % <br />Mail Address <br />�►c��TEa i3�vp. <br />f <br />Description of Work W Be Done: w c � <br />� <br />7��'- G�;. �i� <br />w�wood Gv� Q <br />��Y Statd2ip <br />City <br />�`'� Uc_s.]OQ�1 U-�e <br />Cit S4te/Zip <br />Proposed Use op gailding <br />e w S �!Q <br />� ��_.� <br />StaWZip <br />P6one <br />Phone State Licea,u No. <br />NOTE: WAC yg6�_iqp'g�Q�s •�T PLANS FOR ELECTItICqi, �yp�{ AT EDUCAT(ONAL, <br />HEALTH CARE FACIIITIES gg qppROVED BY THE STATE OF WASHINGTON. pppL,��p�IN���SUCH Jp S <br />MUSf SHOW TE� STATE APpROVED PLANS BEFORE CIT'y OF EVERET' pgg�('1' �yu,L gg ISSUED, <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN METALLIC RACEWqyS (MC AND AC, ARE CpgLES� <br />NOT RACEWAYS). <br />I HEREBY CER'I'IFY THAT I HAVE REqD pN� EXAMINED THIS APPLICATION AND KNOW TE� gqME TO B& TRUE <br />AND CORRECi', qLi, pROVISIONS OF LqWS qND ORDINlWCES GOVEiWING THIS TypE OF WORK WII.I, Bg <br />COMpI,E'PSp WP('g W��ER SPECIFIED HEREIN OR NOT. 'I'AE GRANTING OF A PERMIT DOES NOT PRESUMg <br />TO G1V& AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANy OTHER STATE OR LOCAL I,AW <br />REGULA'flNG CONSTRUCTION OR THE PERFORMpNCE OF CONSTRUCfION. THAT I AM AUTHORIZED BY Ti� <br />OWNER OF THIS PROPERTY TO Pfi1iFpRM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WiTH <br />Tf� STATE CONTRAC!'ORS LAW 18.27 RCW qT(D Zgb.Zp� WAC. <br />s� J6Wl yCQ.� L�.TAI ) ... ... . .. ,._� .� ._,... .. ... <br />Signaturo <br />Date <br />� ����'� ; , , <br />Fee��� o0 <br />�_ <br />��«•vv c�isro» <br />