Laserfiche WebLink
�-, ,� <br /> i <br /> APPLICATION FOR ELEC'i:'ICAL PERMIT <br /> CITY OF E1�ERETf <br /> BUII.DING DMSION <br /> 32W CEDAR STREET <br /> EVERFTT,WA 98201 <br /> 259-8810 <br /> L , 1�� �' .� L�o2P, <br /> �� Mail Address City State/ZiP Phone <br /> . i Tennnt T4ai1 Address . City State/Zip Phoua <br /> 7-53 5� NE /�s� � �i�// � �v�.r_ .� <br /> �dE26 ,��. � E-/�x,�� �a� ° � 9g'al( �SS�za�o 3sw�� �_ <br /> Elcetncal Conttactor Ma�l Address City Sfate/Zip Phone State License No. �;';,,,'� <br /> �� pe '< ,. <br /> .S�2 <br /> Contnct Price of Work 5�83—ZS�hJ��e t�f Pmpcseu Use of Buildiag <br /> : • ��Pro�cet Address <br /> Descriptiou of Work to Be Done: 0�/i12.� /�,� ) �/ei� <br /> NOTE:WAC 296-46-140 REQUIRES'I'HqT PLANS FOR ELECfItICAL WORK AT EDUCATIONAL, WSTTTfT1qONAL OR <br /> HEALTH CARE FACII,ITIES SE APPROVED BY Tf� STATE OF WASHINGTON. APPLICANTS WTfH SUCH JOBS <br /> MUSf SHOW TFIE STATE ARPROVED PLANS BEFORE C1TY OF EVERET PERT�ITf W1LL BE ISSUED. � <br /> NOTE:WIRING IN NON-DWELLINGS IS REQUIRfiD TO BE IN METALLIC RACEWAYS 1 <br /> NOT RACEWAYS). (M� � AC, ARE CABLES, , <br /> �1 <br /> I HEREBY CERTlFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND ICNOW TI�SAME TO BE TRUE I <br /> , AND CORRECI', qLL pROVISIONS OF LAWS AND ORDINANCES GOVERNWG THIS TYPE OF WORK WII,L BE <br /> COMPLETED W1TH WI-IETf�R SPECIFIED HEREIN OR NOT. THE GRANTfNG OF A PERMIT DOES NOT PRESUME ' <br /> i TO GNE qU1'HpgjTy TO VIOLATE OR CANCEL Tf� PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br /> REGULA7TNG CONSTRIIC7TON OR THE PERFORMANCE OF CONSTRUCITON. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM Tf�WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH <br /> THE STATE CONfRACTORS LAW 18.27 RCW AND 296.20(1 WAC. <br /> g , <br /> Signature � F� <br /> Date <br /> �s3v <br /> elecepp(3/5l93) <br /> 1 <br />