Laserfiche WebLink
APPLICATION TOR �LGCTRICAL P�R114IT <br /> C11'Y OF EVERETI' � <br /> UUILDING DIVISION <br /> 3200 CEDAR STREE•T <br /> LVEREI'i,WA 98201 <br /> 259-88f0 <br /> �G a�ewvo�.,p sao� �3s'=� �v�SE SNO _ wk g��rayo sa� -F3ya <br /> Owner Mail Address City S�atdZip Phone <br /> Tenanl Fieil Address City Statc/Zip rnooe <br /> ALP�ON h2(�Ll��C �piool Ms'L wo- 98z7 � Gs'3-9Yli Acno�i3zzJ�L <br /> Elmtriwl Contnclor Mail Addrcss Cily SL�Ic/Zip Phonc State Licensc No. <br /> �trvrP �co,.�,� _ r� � F 2 <br /> Contract Price of Work Proposed Usc o(DuilJing � <br /> 2Jt5 tZLtiL'E�G?4�1� <br /> Frojecl Address . <br /> Dcscriptian of Work to De Donc: q;A�•� <br /> NO7 c:WAC 29Gd6•I40 REQUiRf:S THAT FLANS POR LLECTRICAL WORK AT LDUCATIONAL, INSTI'CUTIONAL OR <br /> HEALTH CARE Fl,CILTTlES �E APPROVED BY THE STATE OP NASHINGTON. AF'PLICANTS NITH SUCId ]OQS <br /> MUST SHOW THE STATB APPROVGD PLANS DEFORE CITY OF EVERET PLRAIIT WILL IIG ISSUGD. <br /> NOTG W[RWG IN NON-U�1'GLLINGS IS REQUIRGD TO DE IN MGTALLIC RACGWAYS(MC AND AC, ARL CADLGS, <br /> NOT RACEWAYS). <br /> I HERL6Y CERTIFY THAT I HAVE READ AND EXAMINGD THIS APPLICATION AND I:NOW THG SM1E TO BE TRU[ <br /> AND CORRECT. ALL PROVISIONS OP LAWS AND ORDINANCiS GOVERNING THIS 7'1'PE OP WORK WILL DE <br /> COMPLGTLD WITH WFIETHL•R SPLCIPiED HfiRGIN OR NOT.7'HF:GRANTING OF A PLRAfIT DO[S NOT PRGSUME <br /> TO GIV6 qUTHORITY TO VIOLATE OR CANCGL TIaE FROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br /> RGGULATING CONSTRUCTION OR THL• FL•RFOIU.IANCE Or CONSTRUCf10N. THAT 1 AT7 AIJTHORIZED BY THE <br /> OWNER OP THIS PROPGRTY TO FHRFORM THE WORK FOR N7i1CH APPI,ICATION IS AfADL•AND I COMPLY WITH <br /> TI1E STATG COMRACfORS LAW 18.27 RCW AND 29G.200 WpC. <br /> � G —/ls� 8 6•F� r� <br /> r•�—�.��— <br /> SignaWro Dale <br /> y����� <br /> dooepp(J1519)) <br />