Laserfiche WebLink
APPLICATIO��T FOR �LECTRICAL PERMIT <br />CITY OF EVERETT <br />BUII.DING DIVISION <br />3200 CEDAR STRE�T <br />EVEREIT, WA 96201 <br />� 30�� <br />259-8810 <br />_�vii, l�rn��/ z7vs T�� rGa,� ��r` �v�Eu` 3: 3- S�o%v <br />�u Mail Address City State/Zip P6one <br />• ��'.Nc' n� ,•�i=dur` <br />Tenont Mail Address . City State/�ip Phone <br />Ae3 <br />L�G1 �cn1 CLCCT�� C t�� /OU I Yv�suL wa �L'Z% 6f3-`Y3f /#c�ioci3rzJlG <br />Elxtrical Contncror Mail Address Ciry State/Zip Phone State License No. <br />�!-ctXl "— .� Fi� <br />Contnct Price of Work Proposed Use of Building <br />2-1oc � �yLu/c �K <br />Project Address <br />Description of Work to Be Done: ��' "�� �^ � 2N S N_r�v e� Eu�r i 3%� =Tt�%'>� C/il-:v.TS <br />NOTE: WAC 296-46-140 REQUIRES '['HAT PLANS FOR ELECfRICAL WORK AT EDUCATIONAL, INSTTT[)TIONAL OR <br />HEALTH CARE FACII.IT[ES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS <br />MUST SHOW TE� STATE APPROVED PLANS'BEFORE CITY OF EVERET PERTviIT WILL BE ISSUED. <br />NOTF.: :vIRWG 1N NON-DWELLINGS IS REQUIRfiD TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br />1� OT RACEWAYS). <br />I HEREHY CERTIFY TH.4T I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE <br />AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVEIWING THIS TYPE OF WORK WILL BE <br />COMPLSTED W1TH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br />TO GNE AUTHORI'CY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br />REGULATTNG CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF TfiIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH <br />THfi STATE CONTRAC7'ORS LAW 18.27 RCW AND 296.200 WAC. <br />Signature <br />,r, ,5�'��� <br />Date <br />�_�Fee <br />elecepp (J/5/9l) <br />