Laserfiche WebLink
r-. <br />APPLICATION FOR ELECTRICAL PERMIT <br />C1TY OF EVEREI'f <br />BUII.DING DMSION <br />3200 CEDAR STREET <br />EVERE'!T, WA 98201 <br />/�� : <br />1�►� <br />�.: � <br />�M SAG�fwl�- Z�fif Tii�r�� v�- �ti�2T- wA- P�z70 <br />Uwu Mail Address City _ State/Zip Phone <br />�\ <br />Twant <br />ElxtricalConkacWr <br />� �� <br />Contract Price of Work <br />Address . <br />I:F['�S <br />Z�k f � 't%4-lEcO � P�2. <br />Frojxt Address <br />f� <br />City State/Zip <br />City State/Zip Phone <br />s %�� <br />Proposed Uu of Building <br />Phone <br />S4te Licwse No. <br />Deuription of Wock to Be Done: W�� �� Y'K^'^1. ���� L�� .�� �'! � <br />NOTE: WAC 296-46-140 RfiQUIRF.S THAT PLANS FOR ELECTRICAL VIORK AT &DUCATIONAL, INSTITUTlONAL OR <br />H6ALTH CAR& FACII.iTIES Bfi APPROVED BY Tf� STAT& OF WASHINGTON. APPLICANTS W1TH SUCH JOBS <br />MUST SHOW Tf� STATE APPROVED PLANS PEFORE CfTY OF EVERET PERMIT WII.L BE ISSU&D. <br />NOTE; WatING IN NON-DWELLINGS IS REQUIItED TO BE IN MEfALLIC RACEWAYS (MC AND AC, AR& CABLES, <br />NOT RACEWAYS). <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINhD THIS APPLiCATTON AND KNOW TEIfi SAM& TO B& TRUE <br />AND CORRECf. ALL PROVISIONS OF LAWS AND ORDWANCES GOVERNING THIS TYPfi OF WORK WII1. Bfi <br />COMPLETED WITIi WHEI'f�R SPECIFIED HEREW OR NOT. THE GRANTING OF A PERMTT DOES NOT PRESUWffs <br />TO GIV& AUTHORITY TO VIOLATE OR CANCEL TK& PROVISIONS OF ANY OTHER STAT& OR LOCAL I.AW <br />REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCITON. THAT I AM AUTHORIZED BY TF� <br />OWNER OF THIS PROPERTY TO PERFORM Tf� WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WiTH <br />Tf� STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />r <br />X ��� <br />SignaNre <br />� -z7-P3 F� <br />nec� <br />ela�pp (lISI9J) <br />