Laserfiche WebLink
APPLICATION FOR ELECTRICAL PERMIT <br />CITY OF EVERETT <br />BUILDING DIVISION <br />3200 CEDAR STREET <br />EVERETT, WA 98201 <br />OL <br />O <br />r 1,�ic+es�.xras � zoe? <br />09P NA -�-6� �.t. Z92 - mSe— <br />Owner Mail Addre.�s City Siate/Zip Phone <br />7e/2 - '51 Lt AAW"Ne <br />IeA' l�crT - �s r sef' Z/ ,�E,dr� y ��ri.� yea) -7 3 — 3775 Aaos r <br />Tenant Mail Address City State/Zip Phone <br />�sr E��r.-mac G z l z zo47'-* S>r 5. &). Z0, 0UA V9 n, &)A . 4,-7o-38114AW24rir � 3 <br />Electrical Contractor Mail Address City State/Zipft"&Phone State License No. <br />#24e 4e -15a D"'[• - /G <br />Contract Price of Work Proposed Use of Budding <br />$ iD - 33 40 ST. <br />Project Address <br />Description of Work to Be Done: ��t/t � CsLk%�i� /�i��� ����A�//��S• <br />NOTE: WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL. INSTITUTIONAL OR <br />HEALTH CARE FACILITIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS <br />MUST SHOW THE STATE APPROVED PLANS BEFORE CITY OF EVERET PERMIT 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. ;HE GRANTING, OF A PERMIT DOES NOT PRESUME <br />TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br />REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUC710I4. 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 CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />X szw1 ` <br />Signature Date <br />i';53) <br />Fee <br />ciccapp (3I993) <br />