Laserfiche WebLink
� � <br />D�x <br />�H[~n <br />HxH <br />�H� <br />�1N� <br />fA N <br />�O� <br />OH <br />Q�g <br />ayE� <br />r i-+ H <br />8y <br />� <br />C� � !/i <br />� O l/� <br />� <br />C� <br />CfI Y OP EVERE: I' <br />BUII..DiNG DIVISION <br />3200 CEDAR STREET <br />EVERETT, WA 98201 <br />Owner <br />���Z <br />Teuant <br />i� <br />Electriwl Contractor <br />APPLICATION FOR �LrCTRICAL PER1�II'1 <br />e <br />Mail Address <br />�V (L�It�r�c� <br />Mail Address - <br />Mai1 Address <br />City SGte/Zip <br />��vd'�2a-� l�/! <br />City State/2 <br />�� <br />City StatelZip Phone <br />�l )tJP� !-'�icid' <br />Contact Price of Work Proposed Use of Building <br />3�v� l,_kim��,2� _ <br />Projcct Address <br />D�cription of Work to IIc Done: <br />'//'�/� <br />'�� <br />i <br />Phone <br />c)'�1 <br />/G�C�� ZSZ-�G�/ <br />� Phone <br />Sfate License No. <br />NOTE: WAC 296-46-140 REQUIRES THAT PLANS FOR LLECTfLICAL WORK AT EDUCATIONAL, 1NSI'fI'U'IIONAL OR <br />HEALTfi CARE FACILTTIES SE APPROVL-D BY THE STATE OF WASHINGTON. APPLICANTS WITTi SUCH 70BS <br />MUST SHOW Tf� STATE APPROVED PLANS BEFORE CITY OF EVLRET PERMIT WII..L BE ISSUED. <br />NOTE: �i'IRING IN NON-DWLLLINGS iS REQUIRED TO IIE IN METALLIC RACEWAYS (MC AND AC, ARE CABLLS, <br />NOT RACEWAYS). <br />I iIEREBY CERTIFY "fIIAT I HAVE READ ATiD EXAMINED THIS AF'PLICATTON AND KNOW THE SAME TO BE IRUE <br />A2JD CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING TIiIS T'YPE OF NORK WII..L BE <br />COMPLETED WITH WI-IETHLR SPECIPIED IiERLIN OR NOT. THE GRANTING OF A PERMIT DOES NOI' PRESUME <br />TO GNE AUTIiORITY TO VIOLATE OR CANCEL i'kiL- PROVISIONS OF ANY OTHL•R SYATE OR LOCAL I.A'N <br />REGULA7'ING CONSTRUCTION OR 7'HE PLRFORMANCE OP CONSTRUCTION. THAT i AM AUTHORiZED BY THE <br />OWNER OF 7'}iIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH <br />THE STATE CON7RACI'ORS LAW 18.27 RCW AND 296.200 WAC. <br />Sienature <br />// � <br />� <br />/, <br />/ <br />i <br />.�j: i., ��.,> <br />/�'•�� ��� <br />�� i <br />Date <br />dcccpp (l;S197) <br />