Laserfiche WebLink
APPLICAT"A FOR ELECTRICAL ^ ERMIT <br />RR..:71E <br />I <br />5/ (/ <br />wner <br />ca <br />/COO, c C7 <br />.ontract Price o ark <br />oL <br />i <br />CITY OF EVERETT <br />BUILD INC DIVISION <br />3200 CE)AR STREET <br />EVERETT, WA 98201 <br />_sS G 0 a <br />p <br />- r mm�e o <br />ity Ztate Llp hone tate lcense o. <br />roposed Use o uildi ng <br />Z/off ctddress / - 7 .fine SE Et/r ? ? . <br />i <br />iscription of Work To Be Done: <br />uRmr-b ou <br />NOTE: WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br />BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE APPROVED PLANS BEFORE A <br />,CITY OF EVERETT PERMIT WILL BE ISSUED. <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO BE IN CONDUIT. <br />I HEREBY CERTIFY THAT I HAVE READ AND' EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />x �&A�l I �z - - 52?z�zzlz_ lq5�3 <br />Signature Date <br />i <br />FEE <br />3'7/9� <br />