Laserfiche WebLink
APPLICATION I'OR �LECTRICAL P�RMIT <br /> CITY OF EVERETT <br /> BUII.DING DIVISION <br /> 3200 CEDAR STREET <br /> fiVERETT, WA 98201 <br /> 259-8810 <br /> SII,ECT HOMFS 12811 8th AVE. ld. {�A-201 EVGREM' WA. 98204 290-5�+32 <br /> Owner Mail Address City State/Zip Phone <br /> Tauant Mail Address . <br /> City State/Zip Phoor. <br /> LM-3 <br /> Electrical Contractor Mail Address City State/Zip Phone State I.icense No. <br /> N�A TLMPORARY <br /> Contract Price of Work Proposed Use of Building <br /> il+-�� ,4�r <� <br /> 5821 -5$�h--pL.--s.—w� (LOT72) <br /> Project Address <br /> Description of Work to Be Done: TIIKPORARY <br /> NOTE:WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK .qT EDUCATIONAL, INSTIT[JTIONAL OR <br /> HEALTH CARE FACILTTIES BE APPROVED BY THE STATE OF NASHINGTON. APPLICANTS WITH SUCH JOBS <br /> MUST SHOW THE STATE APPROVED PLANS BEFORE CITY OF EVLRET PERMIT WILL BE ISSUED. <br /> NOTE:WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN METALI,I(: 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 /> COMPiETED WITH WHETHER SPECIFIED HEFtEIN OR NOT. THE GRANTING OF A PERN.IT 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 PERFORMANCB OF CONSTRUCTIOT?. THAT I AM AUTHORIZED BY THE <br /> OWNLR OF THiS PROPERTY TO PLRFORT4 THE WORK FOR WHICH APPLICATION IS MADE AND T COMPLY WITH <br /> THE STATE CONTRACTORS I.AW 18.27 RCW AND 296.200 WAC. <br /> X <br /> 1 3/ �" � <br /> Fee <br /> ignature Date <br /> �i«�rr(�isi9r I <br />