Laserfiche WebLink
APPLICATION FOR ELECTRICAL PERMIT <br /> CI1'Y OF EVEP.ET]' <br /> BUILDING DIVISION <br /> 3200 CEDAR STREET <br /> E��TT, WA 98201 <br /> 259-8810 <br /> CA25oi.1 I�C , Scy�ttmp so�8 ior� P�� cJ. Evc-RET/' w�+ 98a03 ass <br /> �`�°� Mail Address y85 3 <br /> CitY State/Zip Phone <br /> AS � r3a y�' , <br /> Tenant Mail Address <br /> City State/Zip Phone <br /> Ot...��lE(� <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> State License Nu. <br /> Contract Price of Work Proposed Use of Building <br /> S�A�C X}S q/3oll� <br /> Project Address <br /> Description of Work to Be Done: � �Vt, Fx.,t^.5 7'in)(� h�C 7`�!� �o ,cj, c�m o3�� /.�O++�E�� <br /> T�)PE /V�ETcI� I3Hti5C =.cJSl'ALC �MOf3zC � F/o�E ` 7�tiPE mcTcrLOF]5E' <br /> � <br /> ��(�O �+-� UnJ�c��li0 U�1� E<Cc_Tl� �,V��- Yl�l-UGT LDG�4TC2dN Cr� RNC`!� <br /> c� F P��?c_— �– y-��_ <br /> NOTE:WAC 295-46-140 REQUIRES THAT PLANS FOR EL.fiCTRICAL WORK AT EDUCATIONAL, INSTPI'UTTONAI, OR <br /> ��1T-TH CARE FACII.ITIES BE APPROVED BY THE STATE OF WASHINGTOII. APPLICANTS WTT'H SUCFI IOBS <br /> MUST SHOW THE STATE APPROVED FLANS BEFORE CITY OF EVERET PERMIT WILL BE ISSUED. <br /> NOTE:WIRING IN NON-DWELLINGS IS REQUIR'cD 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 ANA KI•JpW THE SAME TO BE TRUE <br /> AND CORREC'(', ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING TIIIS TYPE OF WORK WILI_ BE <br /> CONPLETED WITH WHET'I-IER SPECIFIED HEREIN OR NOT. THE GRANTING OF A pE�IT DOES NOT PRESUME <br /> TO GNE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br /> REGULAI'1NG CONSIRUCTION OR THE PERFORM,SNCE OF CONSTRUCTION. THAT I AM AUTHORIZ�:D BY THE <br /> OWNER OF THIS PROPERTY TO PERFURM THE WORK FOR WHICH APPLICATION IS D1ADE AND I COMPLY WITH <br /> THE STATE CONTRACI'ORS LAW 18.27 RCW AND 296.200 WAC. <br /> X <br /> ���sa�l s u�cqn�,o ��-- y-9 3 !� <br /> Signature F� <br /> Date <br /> ���-' � / <br /> �i«onr�isisr <br />