Laserfiche WebLink
,�/ a�� — �. <br /> R�N <br /> APPLICATION FOR �LECTRICAL PERMIT <br /> CITY OF EVERETT <br /> BUILDING DMSION <br /> 3200 CEDAR STREET <br /> EVERETT, WA 98201 <br /> 259-88f0 <br /> ' _ ��GECT �u�ES <br /> Owner Mail Address Ciry State/Zip Phone <br /> Teonnt Mail Address Ciry State/Zip Phone <br /> ,C,t�.3 <br /> Electrical Contractor Mail Address City State/Zip Phone State License No. <br /> �9rs, � �FR <br /> Contact Price of Work Proposed Uu of Bwldmg <br /> �'S�/ /ST B-/J !�/EST ' <br /> Pro�xt Address <br /> Description of Work to Be Done: L/E!�/ /y0I4E �Q�,,,�Q ��I'� <br /> NOTE:WpC 296-46-140 REQlJIRES'fHAT PLANS FOR ELECI'RICAL WORK AT EDUCATTONAL, INSTI'I'UT[ONAL OR <br /> HEALTH CARE FACILITIES BE APPROVED BY THE STATE OF WASHIWGTON. APPLICANTS N1TH SUCH JOBS <br /> MUST SHOW TF�STATE APPROVED PLANS BEFORE CI1'Y OF E VERET PEit1vIIT WILL BE ISSUED. <br /> NOTE:WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I HEREBY CERTIFY T'$qT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE <br /> AND CORREC[', pI,I, pROVISiONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WII.L BE <br /> COMPLE'CED WI'I'H WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br /> TO GNE AUTHORITY 7'O VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br /> REGllLATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCI'ION. THAT I AM AUTHORIZ6D 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 /> �'�.�.`-' Q• `n(°f't`°c' 2 25 <br /> Signature Fee j5 00 <br /> Date <br /> ele<npp(7/5/9?� <br />