Laserfiche WebLink
C1TY OF EVERE'I'I' <br />BUII,DING DMSION <br />3200 CEDAR STREET <br />E��TT, WA 98201 <br />Owuer <br />Tenant — <br />�"vF� 6.e�n� <br />Electrica� ContracWr <br />�. <br />APPLICATION FOR ELECTRICAL PERMIT <br />Addrcss <br />M_ail Address . <br />Mail Addrcss <br />� <br />�300�" <br />Contnct pnce of Work <br />��z� _sl,+" s� s�1 Lo,- �z <br />Pro�ect Address <br />Description oP Worlc to Be Done: <br />r .� <br />City <br />� Gc�� 9��� <br />City State/Zip <br />--sS�-�__ <br />Proposed Use of Building <br />� �i/ <br />State/Zip <br />State/7.ip <br />PLone <br />259-88f0 <br />�hoae <br />PLone <br />State License No. <br />NOTE: WAC 2%-46-140 REQUptEg'�qT p�S FOR ELECTRIC,4L Wpgg AT EDUCATIONAL, INSTiT[TITONhL OR <br />HEAI-TH CARE FACIIITIES gg pppROVED BY TFIE STATE OF WASHINGTON. APpLICANTS W� SUCH JOBS <br />MUSf SHOW 1 HE S1'A�'E pgpROVED PLANS BEFORE C1TY OF EVERET pgRT�iPl' yyII,L aE ISSUED. <br />NOT&: WIRWC, IN NON-DWELLINGS IS RfiQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABI.^cS, <br />NOT RACEWAYS). <br />I I��Y �RT�'Y 7'H'4T I HAV� READ AND EXAIvTINED THIS APPLICATION AND IWpW '(� S,yME TO BE TRUE <br />AND CORRECI', AT.i- pROVISIONS OF LAWS AND ORDWANCES GOVERNWG 'fHIS TypE OF WORK WII,I, gg <br />COMPLE'('&D W1Tg V�R gPECIFIED HEREW OR NOT. THE GRAN1'ING OF A PERMIT DOES NOT PRESL7Mg <br />� TO GNE AUTHORITY TO VIOLAT& OR CANCEL THE pROVISIONS OF ANY OTHER STqTE OR T.00AL LqW <br />REGiII-ATlNG CONSTRUCI70N OR THE PERFORMqNCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />� OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPIdCATION IS MADE AND I COMPLY WITH <br />' 'fHE STATE CONTRpCI'ORS LAW 18.27 RCW AND 296.200 WAC. <br />I <br />� <br />t <br />' x i�il /' <br />Signature <br />,, _ <br />Fee o�J <br />elecePP 0/S/93) <br />