Laserfiche WebLink
APPLICATION Ia'OR �L�CTRTCAL P�12MIT <br /> ��hH.1 CITY OF EVERETT �� <br /> BUILDING DMSION � <br /> �`��x 3200 CEDAR STRLET <br /> 9 Hx y EVERETT.�'A 9S2U1 259-8810 <br /> H Z� <br /> o s o J�fn � if, ` /�:23 /�r �/e F✓P n�� 6,/ <br /> y ✓�r Owuer Mail Address City St�te/Zip Phoue <br /> � z <br /> �d �� <br /> H [�sf O Ten t . .. . Mail Addr�ss . . . City StatelZip � � . Phone <br /> y�V CJ <br /> zH� � <br /> gHy � y /o�-� F/�if' � <br /> y E(ectrical Contractor Mail Addrcss City Stale/Zip Phone State Liceuse No. <br /> H <br /> O Cy N <br /> � �� Conlract Price of Work Proposed Use of Buildiug <br /> i.. <br /> z y�n <br /> ti o�n ,L,3�a n�� - <br /> r�o��c naa«s <br /> Pescription of Work lo Be Done:�L�{'/� �"-�' n �" ' ' 'o rl <br /> ( .! �7' � . n ., <br /> . „ .,,r, <br /> �__ <br /> _� <br /> ��- <br /> +�� NOTL:WAC 296-06-140 REQUiRES THAT PLANS 1'OR ELECTRICAL\VORli AT EDUCATIONAL, INSTITUT70NAL OR <br /> HEEALTH CARE PACII.ITIES BE APPROVL-D BY TIIE STATL OF WASFIINGTON. APPLICANTS \VTTH SUCH JOBS <br /> MUST SHOW TIIE STATc APPROVLD PLANS BEPORE CITI' OF EVEEtET PERMIT\yILL BE ISSUED. . <br /> ' NOTE:PlIRING IN NON-DWELLINGS IS REQUIRED 'IO BE IN METALLIC RACEWA]'S (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> +�� I HEREIIY CERTIFY THAT I HAVE READ AND E•XAMINLD THIS APPLiCATION AND KNOW THL SA&fE TO HE TRUE <br /> pND CO?tREGT. ALL PROVISIONS OP LAWS AND ORDINANCL•S GOVERNING THIS TYPE OF WORK WII.L SE <br /> f COMPLLTED WI'I'H WIIETHER SPECIFIED HL-RE•IN OR NO'C. THti GRANTING OF A PERMTT DOES NOT PRESUME <br /> �'` TO GIVH AU'I'HOItITY TO VIOLATE OR CANCEL THG PROVISIONS OF ANY 07'HER STATE OR LOCAL LAV✓ <br /> REGULATING CONSTRUCTION OR TFIH PERFORh1APICE OF CONS'CRUC7'ION. 1'HAT 1 AM AUTHORIZED BY THE <br /> OWNE•R OF THIS PROPLRTY TO PEftFORAd THL �VOR3:FOR\VfiICH APPLICATION IS MADE r��I COMPLY 1VITH <br /> ' THE STATE CONTRACI'ORS LAW 1S.27 RCN AND 296.200 WAC. <br /> � CUV . <br /> � / i / � c'� <br /> • x � /r 9 r� .! � <br /> � <br /> - - � Date <br /> Signnturc . � <br /> ,� � � �9 <br /> � �i«ecv C��5�9» <br />