Laserfiche WebLink
ti] yMy � <br />O RI 7HC <br />AHCCAA <br />t" x <br />H H <br />K n <br />H� <br />y N <br />x <br />Hog <br />0 • fCC337 <br />9z9 Htd <br />rHH <br />C33c3cg....� C C <br />ccCr O <br />P� rA <br />APPLICATION FOR ELI• CTRICAL PERMIT <br />CITY OF VERETT <br />BUILDING DIVISION <br />3200 CEDAR STREET <br />EVERETT, WA 98201 <br />259-8810 <br />NIS <br />u/; <br />Owner <br />Mail Address <br />City <br />StateJZip <br />Phone <br />Tenant <br />Mail Address <br />City <br />State/Zip <br />Phone <br />-22�?) <br />Electrical Contractor <br />Mail Address <br />City <br />State/Zip <br />Phone <br />State License No. <br />Contract Price of Work <br />Proposed Use of Building <br />�D � G'U9 <br />�A/u Ty <br />Project Address <br />A <br />Description of Work to Be Done: <br />NOTE: WAC 296-46-140 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 -DWELLINGS 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 TIiIS 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 PROPER'rY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH <br />THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 \VAC. <br />X <br />Signature <br />.I/4/-r <br />Dale <br />vo�sa <br />cleenpp (3/5193) <br />