Laserfiche WebLink
crty or EVExETT <br />BLIILDING DMSION <br />3�00 CEDqR STREET <br />E��TT, WA 98201 <br />��QGtL � A/llr+ <br />Owner <br />Tenant <br />Electrical Coatractor <br />�Or'1 S` m a. <br />Contract Pnce of Work <br />� <br />.-- <br />APPLICATION FOR ELECTRICAL PERMIT <br />/S'cts�" /9 -� <br />Mail Address <br />�� <br />Mai! Address . <br />� 3i s�i1�'-� S�- <br />Mail Address <br />City <br />Ciry <br />w�►9�C7 a9 <br />�ri 33 <br />City State/Zip <br />—fPr� uJ� <br />Proposed Use of Building <br />LS=-o-�` / 9� cT <br />Projxt qddress — <br />Description of Work ro Be Done: �� d/� S��(/!G� Ci�i9 �C-(�i-� — <br />State/Zip <br />�'.��� <br />: i <br />Phone <br />State/Zip Phone <br />�ee L 9cP/r/i-oL• Zo /J's — <br />Phone State License No. <br />Nn1'E: WAC 296-46-140 REQUIRgg'I�qT PLANS FOR ELEC('RICqi, Wpgg AT EDUCATIONAL, INSTITUTIONAL OR <br />HEALTH CARE FACILIT"IES BE APPROVED BY Tf� STATE OF WASHINGTON. APPLSCANTS W�'H SUCH JOBS <br />MUST SHOW THE STATE qPpROVED PLANS BEFORE CITY OF EVERET PERivIIT WILL BE ISSUED. <br />NOTE:IVIRW� IN NON-DWELI,IA7GS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br />NOT RACEWAYS). <br />I HEREBY CERTIFY TIiqT I HAVE READ AND EXAMINED THIS APPI.ICATION AND KNpW TI� SqME TO BE TRUE <br />AND CORRECT, pL,i, pROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WII.L BE <br />COMPLET&D WI'['H WHET�;gR SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br />TO GNE AUTHORITy TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LpW <br />REGULATING CONSTRUCfION OR THE PERFORMANCE OF CONSTRUCTlON. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WI'fH <br />THE STATE CONTRqCT'ORS LAW 18.27 RCW qND 296.200 WAC. <br />Date <br />L�c� l ��� <br />Fee <br />,� �ni9a� <br />