Laserfiche WebLink
APPLICATION FOR ELECTRICAL PERMIT <br />CITY OF E-VERE•TT <br />BUILDING DIVISION <br />3200 CEDAR S'i REET <br />EVERETT, WA 98201 <br />259-8870 <br />Owncr Mail Address <br />City <br />'.talc/Zip <br />Phone <br />Tenant Mail Address <br />City <br />State/Zip <br />Phone <br />Electrical Contractor Mail Address <br />City State/Zip <br />Phone <br />State License No. <br />Contract Price of <br />/s// 151r, /�c. sT. <br />Project Address <br />Description of Work to Be Done: <br />NOTE: WAC 296-46-140 REQrIIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br />HEALTH CARE FACILITIES BE APPROVED BY THE STATE OF WASIHNGTON. APPLICANTS WITII 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 />NOTRACEWAYS). <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 AUTHOTJTY 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 N7HCH APPLICATION IS MADE AND 1 COMPLY WITH <br />THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />Date <br />�i� CO <br />