Laserfiche WebLink
CITY OF EVERETT <br />BUILDING DMSION <br />3200 CEDAR STREET <br />EVERETf, Wt 98201 <br />�z� <br />Tenant <br />� <br />APPLICATION FOR ELECTRICAL PERiViIT <br />Mail Address <br />/�z� - 3s`��' % <br />L f�� i �r <br />City State/Zip <br />-3s'i�s,�' <br />Mail A.ddtess <br />Lrr� ar;�/�om5 c.%c.u� <br />Electrical Contrector Mail Address <br />`i �JV <br />Contract Price of Work <br />Projxt Address <br />of Work to <br />G <br />iiY/I�✓ ��I � <br />C��y State/Zip <br />City <br />Proposed Use of Building <br />259-8810 <br />P6one <br />Phone <br />Phone State License No. <br />�i <br />NOTE: WAC 296-46-140 REQUIRES THA'1 PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br />HEALTH CARE FACILIITES BE APPROVED BY Ti� STATE OF WASHINGT��N. APPLICANTS WITH SUCH JOBS <br />MUST SAOW Tf� STATE APPROVED PLANS BEFORE CITY OF EVERET PERMIT WILL BE ISSUED. <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE W METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br />NOT RACEWAYS). <br />I HEREBY CERTTFY THAT I HAVF. READ AND EXAMINED THIS t1PPLICATION AND KNOW TF� SAML TO RE TRUE <br />AND CORREGT. ALL PROVISIONS OF LAWS ANA ORDIN/iNC'ES GOVERNING THIS TYPE OF WURK WILL BE <br />COMPLETED WITH WHETHER SPECIFIED HEREIN OR NOT. T?-:E GkANTiNG OF A PERMTT DOES NOT PRfiSUME <br />TO GNE AUTHORITY TO VIOLATE OR CANCEL THE PRUVISIGNS OF ANY OTHER STATE OR LOCAL LA`,V <br />REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTR'ICTION. THAT I AM AUTHORIZED BY THE <br />'�WNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH iu'PLICATION IS MADE AND I COMPLY WITH <br />'fHE STATE CQNTRAGTORS LAW 18.27 RCW�h1j(D 296.200 WAC. <br />X <br />Signature <br />Feey� <br />eiecepp (7/5197) <br />