Laserfiche WebLink
c' <br />APPLICATION FOR ELECTRICAL PERMIT <br />CITY OF EVERETT <br />BUILDING DIVISION <br />3200 CEDAR STREET <br />EVERETT, WA 98201 <br />C4ec,p0- A"I[(nck imc 5 2(010 uieAarofe- 9S-9'0 <br />OL <br />259-M lO <br />3�y-3(c3Ff <br />_sYRMCd S'MIVIFOHP, 15a8 Ne�(TLAVCr�Y�P%1T C.VA 9S�;2 �25'a—�(39 <br />Owner Mail Address City State/Zip Phone <br />A!d `6 <br />Tenant Mail Address City State/Zip Phone <br />19499MNIa YysC <br />/ ?ud a/,Qr/�(�7 /NC l�c�/l7 777��1 C�i�lYNYLt�C1�D, C IA 2WS-7 -7113-95/6 <br />Electrical Contractor Mail Address City State/Zip Phone State License No. <br />' F'?s7ao RCST/-2(/R96(7- <br />Contract Price of Work Proposed Use of Building <br />/725T U) rah SIA E L ';IlzLcJ DR-=V7LJ/�98�0/ <br />Project Address <br />Description of Work to Be Done: L1,qZE 91-A t E1Y `T - <br />NOTE: WAC 29646-140 REQUIRES THAT PLANS FOR ELECTRICAL. WORK AT EDUCATIONAL, INSTITUTIONAL OR <br />HEALTH CARE FACILITIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS <br />MUST SHOW THE STATE APPROVED PLANS BEFORE CITY OF EVERET PERMIT WILL BE ISSUED. <br />NOTE: WIRING IN NON-DIVELLINGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br />NOT RACEWAYS). <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE <br />AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE <br />COMPLETED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br />TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br />REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH <br />THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />X <br />Signature <br />Date <br />Fee �ic93•S <br />�1106q <br />elecapp (3/5/9?' <br />