Laserfiche WebLink
APPLICATION FOR �LECTRICAL P�Ri1�IT <br />CITY OF EVERETT <br />BUILDING DIVISION <br />3200 CEDAR STRLET <br />EVEP.ETT, WA 9S20I <br />� �r crf Lr? kr��vJ [� x <br />Owner Mail Address <br />��11 �� <br />Tenanl Mail Address <br />� �� — <br />Electrical Contraclor <br />��� U <br />Contract Price of Work <br />�� 3� �� �f <br />�t Address <br />Mail Address <br />f{ Tr/E <br />City <br />City <br />�=�4J6�� <br />� ��-93 <br />G�f! rf�/EO <br />State/Zip <br />State/Zip <br />City State/Zip Phone <br />���'.(,�r>?f _ <br />Proposed Use of Building <br />Description of Work to Be Done: ��-t=�",���L /��%E�%�r�- ,(��iS� <br />� <br />� <br />i <br />f -/.s � / <br />Phone <br />P6one <br />State License No. <br />NOTE: NAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br />HEALTH CARL FACILTTIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICAIQTS WITH SUCH JOBS <br />MUST SHOW TfiL STATL APPROVLD PLANS BEFORE CITY OP EVL-RET PERA4IT WTLL BE ISSUED. <br />NOTG: WIRING IN NON-DWLLLINGS IS REQUIRED TO AE W h9ETALLIC R.ACEVVAYS (MC AND AC, ARE CABLES, <br />NOT RACEWAYS). <br />I HEREIIY CERTIFY THAT I HAVE RLAD AND LaAMINLD THIS APPLICATIOPI AND KNOW THE SAME TO BE TRUL- <br />AND CORRLCT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OP WORK WILL BE <br />COMPLF.'fED WITFI WHETHER SPLCIFIL-D HE•REIN OR NOT. THE GRANT[NG OF A PL-RMIT DOES NOT PRESUME <br />TO GI�'E AUTHORITY TO VIOLATE OR CANCEL THL PROVISIONS OF AiJY OTHER STATE OR LOCAL LAW <br />REGULP.TING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZGD BY THE <br />OWNLR �7F THIS PROPERTY TO PERFORA4 THE WORIi FOR WHICH APPLICATION IS MADE AND I COMPLY WITH <br />"fIIL STATE CONTRACTORS LAW 18.27 RCN AND 29G.200 WAC. <br />i _� <br />� � / �� <br />� � � i <br />Y ' , �- ��v3 <br />�, � _..7- �� L��.� � <br />Sionn[uro <br />�, <br />/ //� / � <br />Date <br />Fee �� <br />clunpp (3I5/97) <br />