Laserfiche WebLink
l <br /> r � <br /> 1 <br /> �� <br /> APPLICATION FOR ELECTRICAL PERMIT <br /> CIT'Y OF EVERETT <br /> BUILDING DIViSION <br /> 3200 CEDAR STREET <br /> EVERETT, WA 98201 <br /> 259-8810 <br /> ���r u,m,�, /3 7 ioz 10�1�� �� �v 9��5'� .�3 7 - /�a;Z— <br /> Owner Mail Address City StateiZip Phone <br /> Tenant Mail Address Ciry State/Zip Phone <br /> L('1� -3 <br /> Electrical Contractor Mail Address City StatelZip Phone State License No. <br /> 7.DGa�D �G�6ICE - <br /> Contract Price of Work Proposrd Use of Building <br /> �1� 7.ti'"� �iVE• S•�- <br /> Project Address <br /> Description of Work to Be Done: �I� .p1►11� ��1�(� u�tu NoN�� E 7-S�w--� <br /> NOTE:WAC 296-06-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br /> HEALTH CARE FACILTfIES BE APPROVED BY THE STATE OF WASFIINGTON. AP"LICANTS WITH SUCH JOBS <br /> MUST SHOW Tf�STATE APPROVED PLANS BEFORE CITY OF EVERET PERIvIIT WILL BE ISSUED. <br /> NOTE:WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE <br /> AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE <br /> COMPLETED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br /> TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHEIt STATE OR LOCAL LAW <br /> REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH <br /> THE STATE CONTRACT'ORS LAW 18.27 RCW AND 296.200 WAC. <br /> X � /n Fee <br /> Signature Date <br /> 1/3�a/ <br /> c�ecarr P�5/oT. <br />