Laserfiche WebLink
APPLICATl.J FOR ELECTRICAL � ":RMIT <br />T:YCF <br />evere#-t <br />BUILDING DEPARTMENT <br />259.8810 C <br />�[�_ (6rh�S.MaAdress..?�fC �cref/AKC//L'p'. Sdd�h�c �Or'� ,SNntfle �U/9 ` <br />caner <br />rnant Mail Address <br />Sk-(Ac 1- ctric, L&t. 1Ti1c. <br />City <br />/ l3 <br />Lip <br />/6/ t <br />Phone <br />z. S.E. <br />L,"p6) 2.'1> _/ /C. <br />.E'&/T�o"� 1U4 ?eo"-e <br />Electrical Contractor Mai /T ddres§ <br />Li ty <br />,p <br />hone <br />icense # D9iD <br />�iS OC' �csic/eh�N-fcn,oerai-r <br />ontract rice o 'Nor repose se o uiTding 7" <br />is0 cri pt On or Wor o Be Done: <br />Coms/ru C f --e i' <br />NOTE: WAC 296-4G-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br />BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE APPROVED PLANS BEFORE A <br />CITY OF EVERETT PERMIT WILL BE ISSUED. <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO BE IN METAL RACEWAYS. <br />1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFOPMANCE OF CONSTRUCTION. THAT I AM AUTHORIZE^ -9Y THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />Signature Date <br />FEE <br />