Laserfiche WebLink
� � � <br /> APPLICATION FOR ELECTRICAL PERMIT <br /> CI7'Y OF EVERETf <br /> BUILDING DMSION �' <br /> 3200 CEDAR STREET <br /> EVEZEIT, WA 9821'1 <br /> O uS�.� 259-8810 <br /> � o�b'.3/5"(0 <br /> � ' �Z�S o�'�� ryk/� �� � ��•9O/ <br /> ii <br /> Uwer Mail Address Gty State/ZiP Phone <br /> Twant Mail Address y State/Zi i <br /> C�� P Phone <br /> c��r��e f E ''� <br /> EI ntractor 1�i'I qddress tty te/Zip ne State I,icense No. I <br /> (c�.�.r��Y`s,�hk �'t23 �L�%�� � ���c/ <br /> Contract Pnce of Work <br /> � <br /> Proposed Uu of Building <br /> 3C.1^�� r0 t� S� <br /> Pro�ect Address <br /> Description of Work to Be Done: � ,.�� G� _ � � <br /> ' NOTE:WAC 296-46-140 REQUIREg 'I'[;AT PI.ANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br /> HEAL'CH CARE FACII,ITIES BE APPROVED BY T'HE STATE OF WASHINGTON. APPLICANTS WI1'H SUCH JOBS <br /> MUST SHOW THE STATE APPROVED PLANS BEFORE CITY OF EVERET PERIvfIT WII;L BE ISSUED. <br /> NOTE:WIRING IN NON-DYVELLINGS IS REQ[JIRED TO BE IN METALLiC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I HEREBY CERTIFY TFIAT I HAVE READ pMD EXAMINED THIS APPLICATION AND KNpW'fHE gqME TO BE TRUE <br /> /�ND C�RRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYpE OF WORK WII.,L BE <br /> COMPLETED WIT'f; WFIETHER SPECIFIED HEREIN OR NOT. THE GRAN'I'ING OF A PERMTf DOES NOT PRESUME <br /> TO GIVE AUTHpRI'I'y TO VIOLqT'6 UR CANCEL THE PROVISIONS OF ANY OTHER SThTE OR LOCAL LAW <br /> REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRTJC170N. THAT I AM AUTHORIZED BY THE <br /> OWNL THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE ANL�I COMPLY WlTH <br /> THE ATE ONTRACTORS LAW 18.27 RCW AND 296.200 WqC. <br /> _�� � � <br /> � 00 <br /> . � — '(,- �/– F� ��, _ — I <br /> � Signature Date �`` � <br /> � �}ZJQ � <br /> ela�PP�/S/9I; <br />