Laserfiche WebLink
�a�� <br /> ��Pr�ic�Tiov roR �L�ccTiuc� P�rir�i�� <br /> C[TY OF EVEFtETT I <br /> BUILDING DIVISION <br /> 3200 CEDAR STREET J' <br /> EVERETT, WA 98201 <br /> 259-dbYO <br /> �'9 / �� �ct s-}'v �'.�c� y''�'.za� I <br /> ���cK Sl-��G�E�2 I �" �,�--TrR'`� � �cx-iQE� C�/+, �,tj� 3.�� s.1t7 <br /> Owner Mail Address Cicy Sta:elZip Phone <br /> Tenan[ �/� Mail Address City State/Zip Phone I <br /> i <br /> S��r <br /> Electricaf Contractor Mail Address City State/Zip Phooe State License No. <br /> Es+�(�o'� vs�a /f�4.vc� l�A, s-law�cE Y-x� _ <br /> Contract Price of ork Propose� Use of Building <br /> ��,__.��. 2 uv G -3��.��"�;�,��� <br /> Projer.t Address � �. <br /> Lescnp[ioo or 14'ork m Be Done: _ ��"�«- ��'��'�'�� d��`� ����� �� <br /> �����. �= s-+o�z,,+« �-�•�, T� s�«ac �«.�2 ��-r�..��T- <br /> NOTE:WAC 296-46-140 REQUIRL-S TI-IAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL UR <br /> HEALTH CARE PACILII'IBS BE APPROVL-D BY THE STATE OP WASHINGTON. APPLICANTS WITH SUCH JGBS <br /> MUST SHOW THE STATE APPROVF.D PLANS BEFORF_ CITY OF EVLRET PERMIT WILL BF.ISSUED. <br /> NOTE:WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN T4ETALLIC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KIJOW THE SAME TO BE TRUE <br /> AND CORRECT. ALL PROV]SIONS OP LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE <br /> COMPLET'ED WITH V✓T-IETHER SPECIFIED HEREIN OR NOT. T'HE GRANTING OF A PERMIT DOES NOT PRESUME <br /> TO GNE AUTHORITY 7'O VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br /> REGULATING CONSTRUCTIOt�' OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED Bl' THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK POR WHICH APPLICATION IS ?�1ADE AND I COMPLY W?TH <br /> TI�IE STATL• CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> � <br /> � � 7 <br /> X •'.2�J� F� � <br /> Sionnture llate <br /> ✓ !I % , <br /> elecnpp(3/519.1`. <br /> 1 " �if ��A l t S � .. � --.�b+' t� iC b e z�i c��� .. <br /> i\ '� j d e i�. <br /> i,u � � iji � airr-�. � rr a�F� �ic 1�� <br />{� #,\ 9y. 1�,\ :`;��F)11� I �.:� . , di; . *.,. y.y,,.,.'� � ��g( �y�1 ��ly'L1'�.. y�{� <br /> �� 1� :� � . F V�._v. � .,.1.::.r.�t'� . lllt�d��'ti�Ni�"� ,,,r�L"g�F1 <br /> ;� I :a-�' vf✓� ,.�t„a �jw ,�r�+.. +y,,�. <br />� �t 'ti � � . . ' " - — 's`" - _ _ — <br />